Provider Demographics
NPI:1861907578
Name:BESHOLEM BIRTH MIDWIFERY PC
Entity type:Organization
Organization Name:BESHOLEM BIRTH MIDWIFERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWAB
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:518-660-7722
Mailing Address - Street 1:PO BOX 101
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:12529-0101
Mailing Address - Country:US
Mailing Address - Phone:303-854-7898
Mailing Address - Fax:518-935-9532
Practice Address - Street 1:9249 ROUTE 22
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:NY
Practice Address - Zip Code:12529-0101
Practice Address - Country:US
Practice Address - Phone:518-660-7722
Practice Address - Fax:518-935-9532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-05
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO62408367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty