MEDICARE: JJB MIDWIFERY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	F000928	NY

General Provider Information

NPI Number	:	1053552166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JJB MIDWIFERY

Provider Business Mailing Address
First Line	:	688 PRESIDENT ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-1208
Country	:	US
Telephone Number	:	347-432-4725
Fax Number	:	866-593-2634

Provider Business Practice Location Address
First Line	:	688 PRESIDENT ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-1208
Country	:	US
Telephone Number	:	347-432-4725
Fax Number	:	866-593-2634

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	HAYA BRANT
Credential	:
Telephone Number	:	347-262-6321

Provider Enumeration Date	:	03/19/2009
Last Update Date	:	03/19/2009

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Directions to “JJB MIDWIFERY ” Practice Location

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