Provider Demographics
NPI:1700061637
Name:ACUNA PEREZ, MARIA GORETTI (CNM)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:GORETTI
Last Name:ACUNA PEREZ
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 1:190 E 7TH ST APT 103
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-5976
Mailing Address - Country:US
Mailing Address - Phone:917-291-9377
Mailing Address - Fax:
Practice Address - Street 1:1 GUSTAVE L LEVY PL # 1153
Practice Address - Street 2:MT SINAI HOSPITAL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6500
Practice Address - Country:US
Practice Address - Phone:212-241-6228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001299-1176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife