National Provider Identifier

Ellen Pavlacka

Ellen Pavlacka is listed in the NPPES registry with a primary specialty of Lactation Consultant (Non-RN) in Stanley, NY and a listed phone number of (315) 217-1117.

NPI 1568271096Stanley, NYLactation Consultant (Non-RN)

Profile Overview

NPI
1568271096
Provider Type
Individual
Primary Specialty
Lactation Consultant (Non-RN)
Enumeration Date
December 30, 2024
Last Updated
December 30, 2024

Practice Location

  • 2082 Buffalo St.
  • Apt 2
  • Stanley, NY 14561

Phone: (315) 217-1117

Mailing Address

  • PO Box 136
  • Seneca Castle, NY 14547-0136

Specialties

  • Lactation Consultant (Non-RN) (174N00000X)
Full Record
NPI
1568271096
Entity Type
Individual
Last Name
Pavlacka
First Name
Ellen
Mailing Street Address
PO Box 136
Mailing City
Seneca Castle
Mailing State
NY
Mailing ZIP Code
14547-0136
Mailing Country
US
Mailing Phone
(315) 877-6327
Practice Street Address
2082 Buffalo St.
Practice Address Line 2
Apt 2
Practice City
Stanley
Practice State
NY
Practice ZIP Code
14561
Practice Country
US
Practice Phone
(315) 217-1117
Enumeration Date
December 30, 2024
Last Updated
December 30, 2024
Sex
Female
Sole Proprietor
No
Certification Date
December 23, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Lactation Consultant (Non-RN) (174N00000X)