Provider Demographics
NPI:1194521294
Name:KOLCHINSKY, SEDONA
Entity type:Individual
Prefix:
First Name:SEDONA
Middle Name:
Last Name:KOLCHINSKY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 W 100TH ST APT 918
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5018
Mailing Address - Country:US
Mailing Address - Phone:856-437-9535
Mailing Address - Fax:
Practice Address - Street 1:216 W 100TH ST APT 918
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5018
Practice Address - Country:US
Practice Address - Phone:856-437-9535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCNM09996176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife