Provider Demographics
NPI:1215742663
Name:ALCIDE, MEGHAN (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:ALCIDE
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2917 SHORE RD
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-3332
Mailing Address - Country:US
Mailing Address - Phone:516-532-8127
Mailing Address - Fax:
Practice Address - Street 1:2917 SHORE RD
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-3332
Practice Address - Country:US
Practice Address - Phone:516-532-8127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYL77266163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty