MEDICARE: SAONJIE FAYOLA HAMILTON 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	F001585-1	NY

General Provider Information

NPI Number	:	1801218961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAONJIE FAYOLA HAMILTON CNM

Provider Business Mailing Address
First Line	:	270 LENOX RD APT 510
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-2156
Country	:	US
Telephone Number	:	347-435-0552
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 MONTAGUE ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-3437
Country	:	US
Telephone Number	:	718-400-8339
Fax Number	:	718-576-3434

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

Provider Enumeration Date	:	01/09/2014
Last Update Date	:	07/30/2022

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