Individual
JOAN MARIE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP CNM
Contact information
Practice address
595 HAMPTON RD, SOUTHAMPTON, NY 11968-3004
(631) 675-2125
(631) 675-2624
Mailing address
45 RESEARCH WAY, SUITE 105, EAST SETAUKET, NY 11733-6401
(631) 675-2125
(631) 675-2624
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F000625
NY
Other
Enumeration date
03/26/2007
Last updated
03/23/2017
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