Provider Demographics
NPI:1548267750
Name:MAIMONIDES MEDICAL CENTER MMC MIDWIFERY
Entity type:Organization
Organization Name:MAIMONIDES MEDICAL CENTER MMC MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FALCONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-283-8864
Mailing Address - Street 1:GPO BOX 27630
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-7630
Mailing Address - Country:US
Mailing Address - Phone:718-283-8867
Mailing Address - Fax:718-283-8468
Practice Address - Street 1:6208 4TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-4616
Practice Address - Country:US
Practice Address - Phone:718-283-8867
Practice Address - Fax:718-283-8468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty