Provider Demographics
NPI:1295559706
Name:BURROWS, CASSANDRA (CNM)
Entity type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:
Last Name:BURROWS
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 1:1 KLEUPFEL CT
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-4538
Mailing Address - Country:US
Mailing Address - Phone:773-307-9686
Mailing Address - Fax:
Practice Address - Street 1:1 KLEUPFEL CT
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-4538
Practice Address - Country:US
Practice Address - Phone:773-307-9686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF002354367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife