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Contact Information

KATHLEEN A BREAULT, C.N.M.
1 ATWELL RD
COOPERSTOWN, NY13326-1301
 Phone: 607-547-3909
 Fax: 607-547-6325
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for KATHLEEN A BREAULT · (Female)

NPI # 1053363762
Status Active
Credentials C.N.M.
Entity Individual
Enumeration date 05/17/2006
Last updated 09/13/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # F000561
  • NY Medicaid 01780170
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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