Provider Demographics
NPI:1104933076
Name:HELDWEIN, MARGARET MARY (CNM)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:MARY
Last Name:HELDWEIN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 LONG BEACH LN
Mailing Address - Street 2:
Mailing Address - City:ANGOLA
Mailing Address - State:NY
Mailing Address - Zip Code:14006-9058
Mailing Address - Country:US
Mailing Address - Phone:716-549-5239
Mailing Address - Fax:716-549-0002
Practice Address - Street 1:288 LINWOOD AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-1802
Practice Address - Country:US
Practice Address - Phone:716-885-4401
Practice Address - Fax:716-885-4308
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000751-1176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY161553949OtherTAX ID