National Provider Identifier
Leslie Stork, CNM
Leslie Stork, CNM is listed in the NPPES registry with a primary specialty of Advanced Practice Midwife in Ithaca, NY and a listed phone number of (607) 274-4322.
Profile Overview
- NPI
- 1255815478
- Provider Type
- Individual
- Primary Specialty
- Advanced Practice Midwife
- Enumeration Date
- September 24, 2018
- Last Updated
- January 08, 2021
Practice Location
- 20 Arrowood Dr
- Ithaca, NY 14850-1869
Phone: (607) 274-4322
Specialties
- Advanced Practice Midwife (367A00000X)
- Midwife (176B00000X)
Endpoints
- direct@direct.bronsonhg.org
Direct Messaging Address | Direct | Other | Bronson Healthcare Group | Kalamazoo, MI 49007
Bronson Healthcare Group Direct Address
Full Record
- NPI
- 1255815478
- Entity Type
- Individual
- Last Name
- Stork
- First Name
- Leslie
- Credential
- CNM
- Mailing Street Address
- 20 Arrowood Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1869
- Mailing Country
- US
- Practice Street Address
- 20 Arrowood Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1869
- Practice Country
- US
- Practice Phone
- (607) 274-4322
- Practice Fax
- (607) 274-4587
- Enumeration Date
- September 24, 2018
- Last Updated
- January 08, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 08, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Advanced Practice Midwife (367A00000X), Midwife (176B00000X)