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NPI Code Detail

MEDICARE: DR. SUSAN DUMMITT CNM

MEDICARE: DR. SUSAN DUMMITT 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 MidwifeF000999NY
21041C0700XClinical Social Worker029373-RNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912088220
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN DUMMITT CNM
Provider Business Mailing Address
First Line : 85W BURNSIDE AVE
Second Line :
City : BRONX
State : NY
Zip : 10453-4015
Country : US
Telephone Number : 718-716-2229
Fax Number : 718-228-7471
Provider Business Practice Location Address
First Line : 26 BLEECKER ST
Second Line :
City : NEW YORK
State : NY
Zip : 10012-2413
Country : US
Telephone Number : 212-965-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 12/28/2015

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