Individual
STACIA BETH BIRDSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
268 CANAL ST, NEW YORK, NY 10013-3599
(212) 966-0228
(212) 966-9330
Mailing address
125 WALKER ST FL 2, NEW YORK, NY 10013-4135
(212) 226-8866
(212) 226-2289
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F001385-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03338112
—
NY
Enumeration date
09/15/2006
Last updated
07/16/2019
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