Provider Demographics
NPI:1245090778
Name:EMPOWERED MAMAS
Entity type:Organization
Organization Name:EMPOWERED MAMAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOULA
Authorized Official - Prefix:
Authorized Official - First Name:CHARNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WERCZBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-452-3099
Mailing Address - Street 1:12 BURLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-7420
Mailing Address - Country:US
Mailing Address - Phone:347-452-3099
Mailing Address - Fax:
Practice Address - Street 1:255 LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4812
Practice Address - Country:US
Practice Address - Phone:845-368-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty