National Provider Identifier
Emeline M Mandeville, LM
Emeline M Mandeville, LM is listed in the NPPES registry with a primary specialty of Midwife in Ithaca, NY and a listed phone number of (607) 288-2336.
Profile Overview
- NPI
- 1689919524
- Provider Type
- Individual
- Primary Specialty
- Midwife
- Enumeration Date
- December 04, 2012
- Last Updated
- March 28, 2023
Practice Location
- 301 W State St
- Ithaca, NY 14850-5431
Phone: (607) 288-2336
Specialties
- Midwife (176B00000X)
Full Record
- NPI
- 1689919524
- Entity Type
- Individual
- Last Name
- Mandeville
- First Name
- Emeline
- Middle Name
- M
- Credential
- LM
- Mailing Street Address
- 301 W State St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5431
- Mailing Country
- US
- Mailing Phone
- (607) 288-2336
- Mailing Fax
- (607) 304-5534
- Practice Street Address
- 301 W State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5431
- Practice Country
- US
- Practice Phone
- (607) 288-2336
- Practice Fax
- (607) 304-5534
- Enumeration Date
- December 04, 2012
- Last Updated
- March 28, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 28, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Midwife (176B00000X)