Provider Demographics
NPI:1427882158
Name:D'AMELIO, ELIZABETH (CNM)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:D'AMELIO
Suffix:
Gender:
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 W 177TH ST APT 4F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-6621
Mailing Address - Country:US
Mailing Address - Phone:973-513-0224
Mailing Address - Fax:
Practice Address - Street 1:1124 GALLERY PARK LN
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-1142
Practice Address - Country:US
Practice Address - Phone:910-343-1031
Practice Address - Fax:910-251-8896
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-27
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCNM09648176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife