Provider Demographics
NPI:1245567031
Name:SHIP, EMORY J (CNM)
Entity Type:Individual
Prefix:
First Name:EMORY
Middle Name:J
Last Name:SHIP
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 1:845 W END AVE APT 8B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-8437
Mailing Address - Country:US
Mailing Address - Phone:347-563-6010
Mailing Address - Fax:212-533-8289
Practice Address - Street 1:646 E 11TH ST APT C3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-4196
Practice Address - Country:US
Practice Address - Phone:212-388-1837
Practice Address - Fax:212-533-8289
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-16
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF-001332-1176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife