Individual
ELIZABETH DETROYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
3424 KOSSUTH AVE, BRONX, NY 10467-2489
(718) 519-3872
Mailing address
500 E 77TH ST APT 1008, NEW YORK, NY 10162-0026
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
001740-1
NY
Other
Enumeration date
07/23/2016
Last updated
02/08/2019
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