MEDICARE: MS. SADIE JONES 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
1	367A00000X	Advanced Practice Midwife	001055	NY

General Provider Information

NPI Number	:	1538184155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SADIE JONES C.N.M.

Provider Business Mailing Address
First Line	:	42 SPRING VALLEY ST
Second Line	:
City	:	BEACON
State	:	NY
Zip	:	12508-3319
Country	:	US
Telephone Number	:	845-765-8272
Fax Number	:	888-841-7754

Provider Business Practice Location Address
First Line	:	42 SPRING VALLEY ST
Second Line	:
City	:	BEACON
State	:	NY
Zip	:	12508-3319
Country	:	US
Telephone Number	:	845-765-8272
Fax Number	:	888-841-7754

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	03/17/2016

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