Karen Trister Grace CNM

NPI 1174612733 - Midwife - 176B00000X

NPI Details
NPI 1174612733
Gender Female
Enumeration Date 10/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1400 PELHAM PKWY S
BRONX NY, 10461-1138, US
Phone (718) 918-3060
Fax (718) 918-4469
Business Location
230 PARK PL
APT 2J
BROOKLYN NY, 11238-4343, US
Phone (718) 857-8358
Fax
Toxanomy
Taxonomy Code 176B00000X
License State New York
License Number 000990
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According to our database, Ms. Karen Trister Grace CNM NPI is 1174612733, taxonomy code is 176B00000X and license number is 000990, license state is located at New York. Karen Trister Grace CNM physically located at 1400 Pelham Pkwy S, Bronx NY, 10461-1138. NPI Number Karen Trister Grace CNM has the Individual type.

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1174612733 NPI number is provided on an as is basis without warranty of any kind. 1174612733 is maintained by the National Plan & Provider Enumeration System. The contents of Karen Trister Grace CNM are for informational purposes only.