MEDICARE: BIRTHING CENTER OF NY

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
1	261QB0400X	Birthing Clinic/Center		NY

General Provider Information

NPI Number	:	1730551185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIRTHING CENTER OF NY

Provider Business Mailing Address
First Line	:	6702 3RD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-5203
Country	:	US
Telephone Number	:	929-888-6996
Fax Number	:

Provider Business Practice Location Address
First Line	:	6702 3RD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-5203
Country	:	US
Telephone Number	:	929-888-6996
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LISA ENG
Credential	:	DO
Telephone Number	:	917-952-8814

Provider Enumeration Date	:	10/26/2015
Last Update Date	:	10/28/2015

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Directions to “BIRTHING CENTER OF NY ” Practice Location

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