Provider Demographics
NPI:1245560721
Name:KOBRITZ, JEANNE HOPE (CNM)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:HOPE
Last Name:KOBRITZ
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MANHATTAN AVE
Mailing Address - Street 2:APT # 1217
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-5240
Mailing Address - Country:US
Mailing Address - Phone:201-472-9496
Mailing Address - Fax:212-603-4166
Practice Address - Street 1:315 W 57TH ST
Practice Address - Street 2:STE 204
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3158
Practice Address - Country:US
Practice Address - Phone:212-603-4160
Practice Address - Fax:212-603-4166
Is Sole Proprietor?:No
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000171176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife