Provider Demographics
NPI:1538383179
Name:MAUREEN RAYSON MIDWIFERY, PC
Entity type:Organization
Organization Name:MAUREEN RAYSON MIDWIFERY, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:RAYSON
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, MS
Authorized Official - Phone:646-230-7708
Mailing Address - Street 1:420 W 23RD ST APT 8A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-2174
Mailing Address - Country:US
Mailing Address - Phone:212-691-3858
Mailing Address - Fax:
Practice Address - Street 1:135 W 27TH ST FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6226
Practice Address - Country:US
Practice Address - Phone:646-230-7708
Practice Address - Fax:212-463-9526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000409176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty