South Shore Midwives, PLLC
Advanced Practice Midwife in Malverne, NY. Organization (NPI-2).
NPI number1750763553
StatusActive
Last updated in NPPESJun 29, 2015
Details
- NPI
- 1750763553
- Entity type
- Organization (NPI-2)
- Legal business name
- South Shore Midwives, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 29, 2015
- Last updated
- Jun 29, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | F000827 | NY | Yes |
Practice location
301 Hempstead AveMalverne, NY 11565-1225
Phone 516-256-9031 · Fax 888-433-5112
Mailing address
301 Hempstead AveMalverne, NY 11565-1225
Phone 516-256-9031 · Fax 888-433-5112
Authorized official
Susan Brockmann
Licensed Midwife
5162569031
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