Provider Demographics
NPI:1568543874
Name:JAWOROWSKI, LINDA MARIE (CNM)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:MARIE
Last Name:JAWOROWSKI
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 1:130 MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-2740
Mailing Address - Country:US
Mailing Address - Phone:516-596-7600
Mailing Address - Fax:516-593-7601
Practice Address - Street 1:130 MERRICK RD
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-2740
Practice Address - Country:US
Practice Address - Phone:516-596-7600
Practice Address - Fax:516-593-7601
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000813176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife