Provider Demographics
NPI:1508281130
Name:QUETZAL CURRIE
Entity Type:Organization
Organization Name:QUETZAL CURRIE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE, LACTATION CONSULTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:QUETZAL
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRIE
Authorized Official - Suffix:
Authorized Official - Credentials:LM, IBCLC
Authorized Official - Phone:646-541-3990
Mailing Address - Street 1:5135 ALTON RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2002
Mailing Address - Country:US
Mailing Address - Phone:646-541-3990
Mailing Address - Fax:
Practice Address - Street 1:40 HARRISON ST APT 31G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-2725
Practice Address - Country:US
Practice Address - Phone:646-541-3990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW137261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing