Individual
NURANISA RAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
880 CHESTNUT RIDGE RD, CHESTNUT RIDGE, NY 10977-6318
(845) 729-5937
Mailing address
880 CHESTNUT RIDGE RD, CHESTNUT RIDGE, NY 10977-6318
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
28001752
NY
Other
Enumeration date
09/11/2016
Last updated
09/11/2016
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