Individual
SELENE KIRTELLA HENRY-LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1978 CROMPOND RD STE 102, CORTLANDT MANOR, NY 10567-4114
(914) 736-6180
Mailing address
1978 CROMPOND RD STE 102, CORTLANDT MANOR, NY 10567-4114
(914) 736-6180
(914) 736-6183
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F001457
NY
Other
Enumeration date
04/10/2012
Last updated
09/02/2023
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