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Organization

SEPTEMBER HILL MIDWIFERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEBORA LEE BISSONNETTE CNM (SOLE PROPRIETER/NURSE-MIDWIFE)
(607) 546-7936
Entity
Organization

Contact information

Practice address
3812 MAIN ST, BURDETT, NY 14818-9698
(607) 546-7936
Mailing address
3812 MAIN ST, BURDETT, NY 14818-9698
(607) 546-7936

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
000956
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02172374
NY
Enumeration date
05/29/2009
Last updated
05/29/2009
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