Healthcare Provider Details

I. General information

NPI: 1659282382
Provider Name (Legal Business Name): PRISCILLA OBENG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 W 127TH ST FL 3
NEW YORK NY
10027-3723
US

IV. Provider business mailing address

215 E 124TH ST APT 6E
NEW YORK NY
10035-2138
US

V. Phone/Fax

Practice location:
  • Phone: 508-981-4359
  • Fax:
Mailing address:
  • Phone: 508-981-4359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: