Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 002038 | NY |
NPI | 1073943361 |
---|---|
Provider Name | Grace Obiribea Asante |
First Address | New Windsor, NY 12553-8370 |
Second Address | New Windsor, NY 12553-8370 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2013 |
Last Update Date | 20/05/2021 |