Suzanna Wall, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

NA Issued in NY

Practice address

109 Roxbury Rd
Garden City, NY 11530-2623

Phone

(718) 310-8898

NPI assigned

Jan 9, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Annie Frisbie Ibclc, Inc Dba City Lactation

  • Lactation Consultant (Non-RN)
  • Long Island City, NY
  • NPI 1144722174
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1750191987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ROXBURY RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302623",
            "telephone_number": "718-310-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ROXBURY RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302623",
            "telephone_number": "718-310-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "SUZANNA",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Wachtel, DPT
• Michelle Wadsworth, LMSW
• Sydney Wain, MD
• Joan Mary Waldron, D.D.S.
• Walgreen Co
• Emily Sarah Wallace, DPT
• Jaime Wallace, PH.D.
• Mary Raphael Walsh
• Sarah Walsh
• Walter F Cameron Jr a Physician PC

• Lactation Consultant (Registered Nurse) in Garden City, NY
• Providers in Garden City, NY by specialty
• Lactation Consultant (Registered Nurse) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.