Organization
ST. BARNABAS OG GYN P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JUANITA GALLEGOS CNM (CERTIFIED NURSE MIDWIFE)
(718) 960-9000
Entity
Organization
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-9000
(718) 960-9414
Mailing address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-9000
(718) 960-9414
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F000486
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01779886
—
NY
Enumeration date
11/06/2006
Last updated
08/22/2020
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