Provider Demographics
NPI:1558073585
Name:ANDREA L COLE MIDWIFERY PC
Entity Type:Organization
Organization Name:ANDREA L COLE MIDWIFERY PC
Other - Org Name:WHOLISTIC MIDWIFERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:315-408-9303
Mailing Address - Street 1:1002 WEST ST
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:NY
Mailing Address - Zip Code:13619-9761
Mailing Address - Country:US
Mailing Address - Phone:315-408-9303
Mailing Address - Fax:315-221-9579
Practice Address - Street 1:1016 WEST ST
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NY
Practice Address - Zip Code:13619-9761
Practice Address - Country:US
Practice Address - Phone:315-408-9303
Practice Address - Fax:315-221-9579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-21
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthingGroup - Single Specialty