Provider Demographics
NPI:1497336382
Name:BLUSH MIDWIFERY
Entity Type:Organization
Organization Name:BLUSH MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:MS
Authorized Official - First Name:ELISHEVA
Authorized Official - Middle Name:
Authorized Official - Last Name:YERET
Authorized Official - Suffix:
Authorized Official - Credentials:CM
Authorized Official - Phone:347-268-5896
Mailing Address - Street 1:1737 E 21ST ST APT 2C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1549
Mailing Address - Country:US
Mailing Address - Phone:347-268-5896
Mailing Address - Fax:870-408-4845
Practice Address - Street 1:1737 E 21ST ST APT 2C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1549
Practice Address - Country:US
Practice Address - Phone:347-268-5896
Practice Address - Fax:870-408-4845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty