Healthcare Provider Details

I. General information

NPI: 1720388440
Provider Name (Legal Business Name): WOMEN'S HEALTH MIDWIFERY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2010
Last Update Date: 11/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 SHAD ROW
PIERMONT NY
10968
US

IV. Provider business mailing address

105 SHAD ROW
PIERMONT NY
10968
US

V. Phone/Fax

Practice location:
  • Phone: 845-680-6600
  • Fax: 845-680-2450
Mailing address:
  • Phone: 845-680-6600
  • Fax: 845-680-2450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State

VIII. Authorized Official

Name: MIRONA MANDEL
Title or Position: CNM
Credential:
Phone: 845-639-9878