Organization
MAUREEN SULLIVAN, MIDWIFE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAUREEN SULLIVAN CNM, MS (OWNER)
(607) 433-7255
Entity
Organization
Contact information
Practice address
22 ACADEMY ST, ONEONTA, NY 13820-2403
(607) 433-7255
(607) 432-0405
Mailing address
22 ACADEMY ST, ONEONTA, NY 13820-2403
(607) 433-7255
(607) 432-0405
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F001104-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02494035
—
NY
Enumeration date
05/26/2006
Last updated
08/22/2020
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