Provider Demographics
NPI:1679546436
Name:ABELSON, KATHERINE (CNM)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:
Last Name:ABELSON
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 1:415 ARGYLE RD
Mailing Address - Street 2:APT. 6V
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-5460
Mailing Address - Country:US
Mailing Address - Phone:347-715-6555
Mailing Address - Fax:718-336-4113
Practice Address - Street 1:BROOKLYN BIRTHING CENTER
Practice Address - Street 2:2183 OCEAN AVE.
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229
Practice Address - Country:US
Practice Address - Phone:718-376-6655
Practice Address - Fax:718-336-4113
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000366367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife