Provider Demographics
NPI:1801358783
Name:DAUPHIN, TAMEIL (CNM)
Entity Type:Individual
Prefix:
First Name:TAMEIL
Middle Name:
Last Name:DAUPHIN
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 1:671 E 57TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-1203
Mailing Address - Country:US
Mailing Address - Phone:347-408-9593
Mailing Address - Fax:
Practice Address - Street 1:671 E 57TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-1203
Practice Address - Country:US
Practice Address - Phone:347-408-9593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF001799176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife