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General NPI Number Information
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NPI Number | 1801414511
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Entity Type | Individual
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Provider Name | MICHELE HELENE LIOT CNM
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Gender | Female
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 9 OAK DR
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City | SAG HARBOR
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State | NY
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Zip | 11963-2352
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Country | US
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Telephone | 631-729-0434
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Fax | 631-618-3127
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Provider Business Mailing Address
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Address Line | 9 OAK DR
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City | SAG HARBOR
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State | NY
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Zip | 11963-2352
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Country | US
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Telephone | 631-335-5423
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 002007
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License Number State | NY
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