MEDICARE: COMMUNITY MIDWIFERY

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	F000365	NY

General Provider Information

NPI Number	:	1902827942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY MIDWIFERY

Provider Business Mailing Address
First Line	:	1622 8TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-5604
Country	:	US
Telephone Number	:	718-788-0595
Fax Number	:	718-788-5796

Provider Business Practice Location Address
First Line	:	1622 8TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-5604
Country	:	US
Telephone Number	:	718-788-0595
Fax Number	:	718-788-5796

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. JOAN SYKES BRYSON
Credential	:	CNM LM
Telephone Number	:	718-788-0595

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	08/22/2020

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Directions to “COMMUNITY MIDWIFERY ” Practice Location

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