Provider Demographics
NPI:1386131365
Name:DEFINITELY MIDWIFERY
Entity type:Organization
Organization Name:DEFINITELY MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE, CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:FIORENTINO
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:516-690-7608
Mailing Address - Street 1:257 GRAND STREET, PO BOX 1114
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211
Mailing Address - Country:US
Mailing Address - Phone:516-690-7608
Mailing Address - Fax:
Practice Address - Street 1:257 GRAND ST # 1114
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-4302
Practice Address - Country:US
Practice Address - Phone:516-572-0123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-16
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty