1992962559 NPI number — CITY MIDWIFERY P. C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992962559 NPI number — CITY MIDWIFERY P. C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY MIDWIFERY P. C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992962559
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/15/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
560 62ND ST
Provider Second Line Business Mailing Address:
2ND FLOOR
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11220-4614
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
917-225-8952
Provider Business Mailing Address Fax Number:
718-369-6229

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
514 9TH ST
Provider Second Line Business Practice Location Address:
GROUND FLOOR
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11215-4488
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-225-8952
Provider Business Practice Location Address Fax Number:
718-369-6229
Provider Enumeration Date:
05/21/2008

Additional Information

Authorized Official

Authorized Official Last Name:
MCCLOSKEY
Authorized Official First Name:
CHRISTIANE
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
917-225-8952

Provider Taxonomy Codes

  • Taxonomy code: 176B00000X , with the licence number:  F001078 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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