Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | F001451-1 | NY |
NPI | 1134497365 |
---|---|
Provider Name | Tania Jessica Zirulnik |
First Address | Brooklyn, NY 11215-4971 |
Second Address | Brooklyn, NY 11215-4971 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2011 |
Last Update Date | 15/10/2019 |