Selene Kirtella Henry-Lake, CNM

NPI #1346506797 in Cortlandt Manor, New York

Provider Information

NPI Number: 1346506797
Entity Type: Individual
Name: Selene Kirtella Henry-Lake, CNM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Midwife
Credential: CNM
Enumeration Date: Apr 10, 2012
Last Updated: Sep 2, 2023

Practice Location

Address: 1978 CROMPOND RD STE 102
City: Cortlandt Manor
State: New York
ZIP Code: 10567-4114
Phone: (914) 736-6180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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