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NPI Code Detail

MEDICARE: CATHRINE D CANO CNM

MEDICARE: CATHRINE D CANO CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice Midwife001063NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1001063OTHERNYLICENSE#
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245237510
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHRINE D CANO CNM
Provider Business Mailing Address
First Line : 85 W BURNSIDE AVE
Second Line :
City : BRONX
State : NY
Zip : 10453-4015
Country : US
Telephone Number : 718-483-1270
Fax Number : 718-228-7471
Provider Business Practice Location Address
First Line : 85 W BURNSIDE AVE
Second Line :
City : BRONX
State : NY
Zip : 10453-4015
Country : US
Telephone Number : 718-483-1270
Fax Number : 718-228-7471
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 09/17/2010

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Directions to “ CATHRINE D CANO CNM” Practice Location

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