Organization
VILLAGE MATERNITY PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAQUELINE M WORTH MD (MANAGER)
(212) 741-2229
Entity
Organization
Contact information
Practice address
101 W 12TH ST, NEW YORK, NY 10011-8142
(212) 705-8785
(877) 370-4390
Mailing address
1225 PARK AVE STE 1D, NEW YORK, NY 10128-1758
(212) 741-2229
(212) 741-2228
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
207VX0000X
Obstetrics Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
211448
NY
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
01/20/2016
Last updated
12/18/2022
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