Provider Demographics
NPI:1932605052
Name:ATTENTIVE MIDWIFERY P.C.
Entity Type:Organization
Organization Name:ATTENTIVE MIDWIFERY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:COHAVA
Authorized Official - Middle Name:
Authorized Official - Last Name:KASAEV-CHANIMOV
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:718-696-6262
Mailing Address - Street 1:4166A WHITE PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-3020
Mailing Address - Country:US
Mailing Address - Phone:718-696-6262
Mailing Address - Fax:718-696-6260
Practice Address - Street 1:4166A WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-3020
Practice Address - Country:US
Practice Address - Phone:718-696-6262
Practice Address - Fax:718-696-6260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001645367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty