Provider Demographics
NPI:1831501832
Name:DAVID, KIZZI (DOULA)
Entity Type:Individual
Prefix:
First Name:KIZZI
Middle Name:
Last Name:DAVID
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6518 PARSONS BLVD
Mailing Address - Street 2:APT 7C
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11365-4566
Mailing Address - Country:US
Mailing Address - Phone:347-361-8409
Mailing Address - Fax:
Practice Address - Street 1:6518 PARSONS BLVD
Practice Address - Street 2:APT 7C
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11365-4566
Practice Address - Country:US
Practice Address - Phone:347-361-8409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-24
Last Update Date:2014-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula