Healthcare Provider Details

I. General information

NPI: 1639552375
Provider Name (Legal Business Name): CENTRAL PARK MIDWIFERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2015
Last Update Date: 06/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 WEST END AVE SUITE Y2
NEW YORK NY
10023
US

IV. Provider business mailing address

285 WEST END AVE SUITE Y2
NEW YORK NY
10023
US

V. Phone/Fax

Practice location:
  • Phone: 212-531-2229
  • Fax: 914-462-4409
Mailing address:
  • Phone: 212-531-2229
  • Fax: 914-462-4409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: MS. JO ZASLOFF
Title or Position: OWNER
Credential: CNM
Phone: 212-531-2229