MEDICARE: MICHELE HELENE LIOT 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	002007	NY

General Provider Information

NPI Number	:	1801414511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE HELENE LIOT CNM

Provider Business Mailing Address
First Line	:	9 OAK DR
Second Line	:
City	:	SAG HARBOR
State	:	NY
Zip	:	11963-2352
Country	:	US
Telephone Number	:	631-335-5423
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 OAK DR
Second Line	:
City	:	SAG HARBOR
State	:	NY
Zip	:	11963-2352
Country	:	US
Telephone Number	:	631-729-0434
Fax Number	:	631-618-3127

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

Provider Enumeration Date	:	07/09/2020
Last Update Date	:	04/18/2022

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Directions to “ MICHELE HELENE LIOT CNM” Practice Location

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