Individual
JENNA SOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3671 BROADWAY, APT 28, NEW YORK, NY 10031-1503
(203) 570-4239
Mailing address
8900 VAN WYCK EXPY, RICHMOND HILL, RICHMOND HILL, NY 11418-2832
(203) 570-4239
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
702941
NY
367A00000X
Advanced Practice Midwife
Primary
001771
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
10/11/2016
Last updated
07/21/2022
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