Individual
KIRA NICOLE PONCELET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, DNP
Contact information
Practice address
7901 BROADWAY # C5-10, ELMHURST, NY 11373-1329
(718) 334-5366
Mailing address
7901 BROADWAY # C5-10, ELMHURST, NY 11373-1329
(718) 334-5366
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F002264-01
NY
Other
Enumeration date
04/01/2024
Last updated
05/08/2024
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