MEDICARE: NANCEY ROSENSWEIG CNM

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	F0007131	NY
2	367A00000X	Advanced Practice Midwife	000713	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083696322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCEY ROSENSWEIG CNM

Provider Business Mailing Address
First Line	:	1351 ROUTE 55
Second Line	:	SUITE 200
City	:	LAGRANGEVILLE
State	:	NY
Zip	:	12540-5108
Country	:	US
Telephone Number	:	845-475-9660
Fax Number	:	845-475-9938

Provider Business Practice Location Address
First Line	:	6511 SPRING BROOK AVE
Second Line	:	SUITE 103
City	:	RHINEBECK
State	:	NY
Zip	:	12572-3709
Country	:	US
Telephone Number	:	845-871-4235
Fax Number	:	845-871-4361

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	02/10/2017

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