Provider Demographics
NPI:1437917036
Name:JUNIPER MIDWIFERY AND WOMEN'S HEALTH NURSE PRACTITIONER, PLLC
Entity type:Organization
Organization Name:JUNIPER MIDWIFERY AND WOMEN'S HEALTH NURSE PRACTITIONER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAROVICK
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:347-201-0721
Mailing Address - Street 1:249 SMITH ST # 124
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-4740
Mailing Address - Country:US
Mailing Address - Phone:347-201-0721
Mailing Address - Fax:
Practice Address - Street 1:90 STATE STREET, SUITE 700
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12207
Practice Address - Country:US
Practice Address - Phone:347-201-0721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical