Provider Demographics
NPI:1972648798
Name:JOFFEE, JUDY (CNM)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:
Last Name:JOFFEE
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 1:131 SHIVERTOWN RD
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-3322
Mailing Address - Country:US
Mailing Address - Phone:845-255-2096
Mailing Address - Fax:
Practice Address - Street 1:131 SHIVERTOWN RD
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-3322
Practice Address - Country:US
Practice Address - Phone:845-255-2096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000362176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife