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MERVNIDE PIERRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
560 W 168TH ST, NEW YORK, NY 10032-3917
(508) 649-1769
(508) 649-1769
Mailing address
560 W 168TH ST, NEW YORK, NY 10032-3917
(508) 649-1769

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
001840
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001840
NYS OFFICE OF THE PROFESSIONS
NY
Enumeration date
11/27/2017
Last updated
01/22/2018
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