Provider Demographics
NPI:1831714344
Name:MIDWIFERY COLLECTIVE
Entity type:Organization
Organization Name:MIDWIFERY COLLECTIVE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE/TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:BUES
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, CNM, WHNP
Authorized Official - Phone:914-589-5491
Mailing Address - Street 1:448 W 57TH ST APT 1C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3002
Mailing Address - Country:US
Mailing Address - Phone:914-589-5491
Mailing Address - Fax:
Practice Address - Street 1:448 W 57TH ST APT 1C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3002
Practice Address - Country:US
Practice Address - Phone:914-589-5491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-10
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty