Individual
GAELLE AMATALIE DUVIVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
4166A WHITE PLAINS RD, BRONX, NY 10466-3020
(718) 696-6262
(718) 696-6260
Mailing address
4166A WHITE PLAINS RD, BRONX, NY 10466-3020
(718) 696-6262
(718) 696-6260
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
679876
NY
176B00000X
Midwife
Primary
002021
NY
363LW0102X
Women's Health Nurse Practitioner
421431
NY
Other
Enumeration date
01/21/2014
Last updated
10/08/2021
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