Delventhal, Alice K

Delventhal, Alice K is an individual health care provider with primary practice located at 206 Cornelia St Suite 202, Plattsburgh NY 12901-2779. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Other Service Providers / Midwife is her primary health care specialty. Delventhal, Alice K can be contacted via phone (518) 562-7777.

Contact Information

Primary practice address
206 Cornelia St Suite 202 Plattsburgh NY 12901-2779
Phone: (518) 562-7777
Fax: (518) 562-7707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X F000052-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F4207721 New York

Profile Details

NPI number 1043275050
LBN Legal business name Delventhal, Alice K
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Oct 17th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043275050 NPPES
New York MEDICAID 02737933
New York Other J400020433

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