Individual
MARISA POVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 E 111TH ST APT 4, NEW YORK, NY 10029-2854
(520) 245-5984
Mailing address
180 E 111TH ST APT 4, NEW YORK, NY 10029-2854
(520) 245-5984
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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