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NPI Code Detail

MEDICARE: MRS. JANET FAY NEWALL M.S.N., C.N.M.

MEDICARE: MRS. JANET FAY NEWALL M.S.N., C.N.M.
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
1367A00000XAdvanced Practice MidwifeF001197-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000929673001OTHERNYHEALTHNOW NY INC
20129688OTHERNYGHI PPO
32607468OTHERNYUNITEDHEALTHCARE ID
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
51200880OTHERNYAETNA ID NUMBER
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457322034
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANET FAY NEWALL M.S.N., C.N.M.
Provider Business Mailing Address
First Line : 908 NIAGARA FALLS BLVD
Second Line : STE 208
City : N TONAWANDA
State : NY
Zip : 14120-2019
Country : US
Telephone Number : 716-692-2160
Fax Number : 716-692-4342
Provider Business Practice Location Address
First Line : 2157 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-2648
Country : US
Telephone Number : 716-862-1501
Fax Number : 716-213-0348
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2006
Last Update Date : 12/13/2007

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