Individual
ELIZABETH SARAH PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
373 BROADWAY, KINGSTON, NY 12401
(845) 303-1132
(845) 303-1133
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
001537
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03515679
—
NY
01
—
F001537
NYS LICENSE
NY
Enumeration date
03/14/2013
Last updated
12/18/2018
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