Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 001719 | NY |
NPI | 1164896767 |
---|---|
Provider Name | Hannah Blaustein Kasper |
First Address | Nyack, NY 10960-2106 |
Second Address | New York, NY 10003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2015 |
Last Update Date | 19/11/2015 |