Individual
MRS. BARBARA HACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
871 PROSPECT AVE, BRONX, NY 10468
(718) 991-0605
Mailing address
215 RIVERSIDE DR, FAIRFIELD, CT 06824-6930
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
000061
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01954356
—
NY
Enumeration date
10/27/2006
Last updated
01/17/2012
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