Organization
TREE OF LIFE MIDWIFERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALLISON R KOCH CNM (OWNER)
(315) 386-4458
Entity
Organization
Contact information
Practice address
89 RIVERSIDE DR, SUITE 3, CANTON, NY 13617-3398
(315) 386-4458
(315) 379-1275
Mailing address
89 RIVERSIDE DR, SUITE 3, CANTON, NY 13617-3398
(315) 386-4458
(315) 379-1275
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F000954
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02147175
—
NY
Enumeration date
09/18/2007
Last updated
09/18/2007
Update your record
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