Jean Imparato
Individual provider Active NPI Doula · Pine Bush, NY
NPI 1487087409 · NPPES record last updated Aug 13, 2013
Key facts
- NPI
- 1487087409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- License
- 374J00000X (NY)
- Practice address
- 728 State Route 302
Pine Bush, NY 12566-6765 - Phone
- (845) 978-1335
- NPI assigned
- Aug 13, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 374J00000X | NY | MD | Doula |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | 374J00000X | NY | Yes |
Addresses
Primary practice location
728 State Route 302
Pine Bush, NY 12566-6765
Mailing address
728 State Route 302
Pine Bush, NY 12566-6765
Phone (845) 978-1335
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374J00000X | Other | NY | DOULA |
Other providers in Pine Bush, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.