Provider Demographics
NPI:1730240763
Name:ZEIDENSTEIN, LAURA (CNM, DRNP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:ZEIDENSTEIN
Suffix:
Gender:F
Credentials:CNM, DRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 FULLER PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-6007
Mailing Address - Country:US
Mailing Address - Phone:212-305-5887
Mailing Address - Fax:212-305-6937
Practice Address - Street 1:330 W 58TH ST
Practice Address - Street 2:SUITE 505
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1827
Practice Address - Country:US
Practice Address - Phone:212-957-3006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000208176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife