Provider Demographics
NPI:1881790772
Name:BIRTH & BEYOND, MIDWIFERY PRACTICE, PLLC
Entity type:Organization
Organization Name:BIRTH & BEYOND, MIDWIFERY PRACTICE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:COLONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-431-2500
Mailing Address - Street 1:50 DIETZ ST
Mailing Address - Street 2:SUITE L
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-1865
Mailing Address - Country:US
Mailing Address - Phone:607-431-2500
Mailing Address - Fax:607-431-2323
Practice Address - Street 1:50 DIETZ ST
Practice Address - Street 2:SUITE L
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-1865
Practice Address - Country:US
Practice Address - Phone:607-431-2500
Practice Address - Fax:607-431-2323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000901176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02146909Medicaid
NY02146909Medicaid
NYP65298Medicare UPIN