Individual
FATIMA S. LEGRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
760 BROADWAY, WOODHULL MENTAL & MEDICAL HEALTH CENTER, BROOKLYN, NY 11206
(718) 963-8000
Mailing address
760 BROADWAY DEPARTMENT OF MANAGED CARE ROOM 2B230, WOODHULL MENTAL & MEDICAL HEALTH CENTER, BROOKLYN, NY 11206
(718) 963-8000
(718) 630-3122
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
182378
GA
367A00000X
Advanced Practice Midwife
F001275-1
NY
Other
Enumeration date
06/13/2006
Last updated
07/08/2014
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