Provider Demographics
NPI:1023583036
Name:BANE, BATSHEVA L (CNM)
Entity type:Individual
Prefix:
First Name:BATSHEVA
Middle Name:L
Last Name:BANE
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 1:4499 HENRY HUDSON PKWY APT 4D
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-3831
Mailing Address - Country:US
Mailing Address - Phone:848-299-9469
Mailing Address - Fax:
Practice Address - Street 1:4499 HENRY HUDSON PKWY APT 4D
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-3831
Practice Address - Country:US
Practice Address - Phone:848-299-9469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-05
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife