=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689593303
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MY GENTLE START LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/15/2026
-----------------------------------------------------
Last Update Date | 07/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3755 HENRY HUDSON PKWY APT 12F
-----------------------------------------------------
City | BRONX
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10463-1539
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-699-3361
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3755 HENRY HUDSON PKWY APT 12F
-----------------------------------------------------
City | BRONX
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10463-1539
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-699-3361
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | RIVKA C LAX
-----------------------------------------------------
Credential | DOULA
-----------------------------------------------------
Telephone | 516-316-5015
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374J00000X
-----------------------------------------------------
Taxonomy Name | Doula
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------