Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | 001571 | NY |
NPI | 1093144552 |
---|---|
Provider Name | Theresa M Naro |
First Address | Oswego, NY 13126-1321 |
Second Address | Oswego, NY 13126-1321 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2013 |
Last Update Date | 25/03/2016 |