Provider Demographics
NPI:1801414511
Name:LIOT, MICHELE HELENE (CNM)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:HELENE
Last Name:LIOT
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 1:9 OAK DR
Mailing Address - Street 2:
Mailing Address - City:SAG HARBOR
Mailing Address - State:NY
Mailing Address - Zip Code:11963-2352
Mailing Address - Country:US
Mailing Address - Phone:631-335-5423
Mailing Address - Fax:
Practice Address - Street 1:9 OAK DR
Practice Address - Street 2:
Practice Address - City:SAG HARBOR
Practice Address - State:NY
Practice Address - Zip Code:11963-2352
Practice Address - Country:US
Practice Address - Phone:631-729-0434
Practice Address - Fax:631-618-3127
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-09
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002007176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife