Provider Demographics
NPI:1730260597
Name:JEUDY, SABINE MARIE (CNM)
Entity type:Individual
Prefix:MS
First Name:SABINE
Middle Name:MARIE
Last Name:JEUDY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:425 W 59TH ST
Mailing Address - Street 2:SUITE 4-B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-8022
Mailing Address - Country:US
Mailing Address - Phone:212-581-8675
Mailing Address - Fax:212-459-9113
Practice Address - Street 1:425 W 59TH ST
Practice Address - Street 2:SUITE 4-B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-8022
Practice Address - Country:US
Practice Address - Phone:212-581-8675
Practice Address - Fax:212-459-9113
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2013-03-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF001124367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1730260597OtherNPI