Healthcare Provider Details

I. General information

NPI: 1275479552
Provider Name (Legal Business Name): QAVAH MIDWIFERY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 N UNION ST
OLEAN NY
14760-2662
US

IV. Provider business mailing address

234 N UNION ST
OLEAN NY
14760-2662
US

V. Phone/Fax

Practice location:
  • Phone: 716-201-0875
  • Fax: 877-428-8309
Mailing address:
  • Phone: 716-201-0875
  • Fax: 877-428-8309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: BONNIE LEDFORD
Title or Position: OWNER
Credential: CNM, APRN
Phone: 716-201-0875