Provider Demographics
NPI:1306611389
Name:MOTHER OCEAN MIDWIFERY
Entity type:Organization
Organization Name:MOTHER OCEAN MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MIDWIFERY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:MALAIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:917-213-5313
Mailing Address - Street 1:123 LINDEN BLVD APT 26D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-9711
Mailing Address - Country:US
Mailing Address - Phone:917-213-5313
Mailing Address - Fax:917-277-8216
Practice Address - Street 1:1322 TROY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-5730
Practice Address - Country:US
Practice Address - Phone:917-213-5313
Practice Address - Fax:917-277-8216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty