Provider Demographics
NPI:1225250483
Name:TRAMUTOLA, JOSEPHINE (NURSE MIDWIFE)
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:
Last Name:TRAMUTOLA
Suffix:
Gender:F
Credentials:NURSE MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:668 CASTLETON AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-2044
Mailing Address - Country:US
Mailing Address - Phone:718-448-4300
Mailing Address - Fax:718-448-3999
Practice Address - Street 1:668 CASTLETON AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-2044
Practice Address - Country:US
Practice Address - Phone:718-448-4300
Practice Address - Fax:718-448-3999
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNYF0004991163WX0003X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient