Healthcare Provider Details

I. General information

NPI: 1588865711
Provider Name (Legal Business Name): CHRISTINE BETH COVEL CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2007
Last Update Date: 09/09/2022
Certification Date: 09/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 LONG POND RD
ROCHESTER NY
14626-4122
US

IV. Provider business mailing address

100 KINGS HWY S
ROCHESTER NY
14617-5504
US

V. Phone/Fax

Practice location:
  • Phone: 585-368-4020
  • Fax: 585-368-4019
Mailing address:
  • Phone: 585-368-4020
  • Fax: 585-368-4019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number000892
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: