Individual
PAMELA KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
6 TECHNOLOGY DR, EAST SETAUKET, NY 11733-4079
(631) 444-4686
Mailing address
6 TECHNOLOGY DR, EAST SETAUKET, NY 11733-4079
(631) 444-4686
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F001000
NY
Other
Enumeration date
02/03/2007
Last updated
03/18/2010
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