Healthcare Provider Details

I. General information

NPI: 1831003458
Provider Name (Legal Business Name): SINDY YARITZA SUAREZ BRAVO DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8620 95TH JAMAICA
QUEENS NY
11416
US

IV. Provider business mailing address

8620 95TH JAMAICA
QUEENS NY
11416
US

V. Phone/Fax

Practice location:
  • Phone: 646-902-7702
  • Fax:
Mailing address:
  • Phone: 646-902-7702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: