Provider Demographics
NPI:1205078995
Name:GENTLE SPIRIT MIDWIFERY WOMEN'S HEALTH SERVICES, P.C.
Entity type:Organization
Organization Name:GENTLE SPIRIT MIDWIFERY WOMEN'S HEALTH SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAKINA
Authorized Official - Middle Name:
Authorized Official - Last Name:O'UHURU
Authorized Official - Suffix:
Authorized Official - Credentials:CM,MS
Authorized Official - Phone:212-368-2229
Mailing Address - Street 1:764 SAINT NICHOLAS AVE
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-4002
Mailing Address - Country:US
Mailing Address - Phone:212-368-2229
Mailing Address - Fax:212-368-2228
Practice Address - Street 1:764 SAINT NICHOLAS AVE
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-4002
Practice Address - Country:US
Practice Address - Phone:212-368-2229
Practice Address - Fax:212-368-2228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000753367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty