Provider Demographics
NPI:1699105346
Name:TIAN, WENPING (CNM)
Entity type:Individual
Prefix:
First Name:WENPING
Middle Name:
Last Name:TIAN
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 1:372 CENTRAL PARK W
Mailing Address - Street 2:#1D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-8240
Mailing Address - Country:US
Mailing Address - Phone:212-531-2229
Mailing Address - Fax:
Practice Address - Street 1:372 CENTRAL PARK W
Practice Address - Street 2:#1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-8240
Practice Address - Country:US
Practice Address - Phone:212-531-2229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-16
Last Update Date:2013-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF001575-1176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife