Individual
DEBORAH WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
600 FITCH ST, SUITE 102, ELMIRA, NY 14905-1634
(607) 734-6544
(607) 734-6580
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F000862-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02371451
—
NY
01
—
J400224142
MEDICARE PTAN
NY
Enumeration date
11/17/2006
Last updated
08/30/2016
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