Nicholson, Gay

Nicholson, Gay is an individual health care provider with primary practice located at 413 W Clinton St , Ithaca NY 14850-5266. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Nicholson, Gay can be contacted via phone (607) 342-1630.

Contact Information

Primary practice address
413 W Clinton St Ithaca NY 14850-5266
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X F001039 New York

Profile Details

NPI number 1730255811
LBN Legal business name Nicholson, Gay
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Oct 14th, 2015 - about 10 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 1730255811 NPPES
New York MEDICAID 02240673

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