Organization
GAIA MIDWIVES PLLC
Active
Other names
Gaia Midwives
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLLEEN P HEINZE CNM (LICENSED MIDWIFE)
(423) 505-2056
Entity
Organization
Contact information
Practice address
90 GLEN COVE RD, GREENVALE, NY 11548-1038
(631) 486-0832
(631) 504-0723
Mailing address
PO BOX 405, RIDGE, NY 11961-0405
(631) 486-0832
(631) 504-0723
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
001393
NY
367A00000X
Advanced Practice Midwife
Primary
001788
NY
367A00000X
Advanced Practice Midwife
001814
NY
Other
Enumeration date
10/09/2017
Last updated
08/21/2023
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