Organization
SOUTH SHORE MIDWIVES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BROCKMANN CM, LM, MPH (LICENSED MIDWIFE)
(516) 256-9031
Entity
Organization
Contact information
Practice address
301 HEMPSTEAD AVE, MALVERNE, NY 11565-1225
(516) 256-9031
(888) 433-5112
Mailing address
301 HEMPSTEAD AVE, MALVERNE, NY 11565-1225
(516) 256-9031
(888) 433-5112
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F000827
NY
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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