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KATHERINE KONCELIK CBD, CPD, CLC
NPI 1477876480
Lactation Consultant, Non-RN in East Islip, NY

Active since March 04, 2010
112 JEFFERSON ST, EAST ISLIP, NY 11730(631) 581-1066 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 29, 2018, Aug 13, 2018 (2 updates tracked since 2018).

About Katherine Koncelik Cbd, Cpd, Clc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE KONCELIK CBD, CPD, CLC (NPI 1477876480) is an individual lactation consultant, non-rn provider in East Islip, New York and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1477876480
Entity TypeIndividualFemale
Primary Taxonomy174N00000X
Provider Legal NameKATHERINE KONCELIKCredential: CBD, CPD, CLC
Location Address112 JEFFERSON STEast Islip, NY 11730
Mailing Address112 Jefferson StEast Islip, NY 11730-1826 · (631) 581-1066
Phone(631) 581-1066
Sole ProprietorYes
Enumeration DateMarch 4, 2010
Last NPPES UpdateOctober 29, 20182 updates tracked since enumeration
✔ NPI 1477876480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLactation Consultant, Non-RNOther Service Providers
Taxonomy Code174N00000X
Definition
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
Also ListedDoulaTaxonomy 374J00000X
112 JEFFERSON ST, East Islip, NY 11730
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Koncelik's NPI number?

The NPI number for Katherine Koncelik is 1477876480. It was assigned to this individual provider in the NPPES registry on March 4, 2010.

Where is Katherine Koncelik located?

Katherine Koncelik practices at 112 Jefferson St, East Islip, NY 11730. The listed phone number is (631) 581-1066.

What is Katherine Koncelik's specialty?

The primary specialty registered for this NPI is Lactation Consultant, Non-RN with taxonomy code 174N00000X.

When was this NPI record last updated?

The NPPES record for Katherine Koncelik was last updated on October 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.