Individual
JEANETTE BREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
660 MERRICK RD, BALDWIN, NY 11510-3548
(516) 223-1251
(516) 223-1394
Mailing address
2395 HARRISON AVE, BALDWIN, NY 11510-3214
(516) 868-1872
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F000045
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00900298
—
NY
Enumeration date
04/02/2007
Last updated
07/08/2007
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