Individual
JEANETTE FIERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
5610 2ND AVE, BROOKLYN, NY 11220-3599
(718) 630-7241
Mailing address
5610 2ND AVE, BROOKLYN, NY 11220-3599
(718) 630-7241
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
002036
NY
176B00000X
Midwife
136
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7102425000
—
WV
Enumeration date
06/01/2005
Last updated
12/03/2020
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