Individual
CAROLE A POWELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
967 48TH ST, BROOKLYN, NY 11219-2919
(718) 283-8864
(718) 283-8468
Mailing address
967 48TH ST, BROOKLYN, NY 11219-2919
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F000642-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01864795
—
NY
Enumeration date
07/21/2005
Last updated
07/08/2007
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