Individual
ALICE K DELVENTHAL
Active
Individual
ALICE K DELVENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F000052-1
NY
363LW0102X
Women's Health Nurse Practitioner
F4207721
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02737933
—
NY
01
—
J400020433
MEDICARE PTAN
NY
Enumeration date
04/20/2006
Last updated
10/17/2014
Update your record
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