Individual
STEPHANIE ETIENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 915-5633
Mailing address
41 HICKORY HL, KERHONKSON, NY 12446-2113
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F001427-1
NY
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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