Individual
MS. ROMA ANGELICA GAVIOLA PANGANIBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1176 5TH AVE, NEW YORK, NY 10029-6503
(212) 659-8557
Mailing address
1 GUSTAVE L. LEVY PLACE, PO BOX 1153, NEW YORK, NY 10029
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F001836
NY
Other
Enumeration date
10/27/2017
Last updated
09/25/2023
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