Provider Demographics
NPI:1821420506
Name:MCNYC
Entity Type:Organization
Organization Name:MCNYC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNM
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:BUES
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:914-589-5491
Mailing Address - Street 1:448 W 57TH ST
Mailing Address - Street 2:APT 1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3055
Mailing Address - Country:US
Mailing Address - Phone:914-589-5491
Mailing Address - Fax:
Practice Address - Street 1:448 W 57TH ST
Practice Address - Street 2:APT 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3055
Practice Address - Country:US
Practice Address - Phone:914-589-5491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000992176B00000X
NYF001372176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty