Provider Demographics
NPI:1992405310
Name:CASSANDRA CHRISTOPHER LLC
Entity type:Organization
Organization Name:CASSANDRA CHRISTOPHER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:CHRISTOPHER
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:203-512-7000
Mailing Address - Street 1:79 HAMILTON PL APT 14
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-6850
Mailing Address - Country:US
Mailing Address - Phone:203-512-7000
Mailing Address - Fax:
Practice Address - Street 1:79 HAMILTON PL APT 14
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-6850
Practice Address - Country:US
Practice Address - Phone:203-512-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty