Individual
JENNIFER SHARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
967 48TH ST, BROOKLYN, NY 11219-2919
(718) 283-8225
Mailing address
967 48TH ST, BROOKLYN, NY 11219-2919
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F001302
NY
Other
Enumeration date
02/18/2008
Last updated
02/28/2008
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