Healthcare Provider Details
I. General information
NPI: 1164319398
Provider Name (Legal Business Name): LOVE CHILD MIDWIFERY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/20/2025
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
285 W END AVE # Y2
NEW YORK NY
10023-2504
US
IV. Provider business mailing address
22 PERRY ST APT 5E
NEW YORK NY
10014-2775
US
V. Phone/Fax
- Phone: 212-531-2229
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MISS
NEELU
SHRUTI
Title or Position: DIRECTOR
Credential: CNM
Phone: 512-608-7005