NPI 1013791193

Banyan Tree Birth Center LLC

Organisation Advanced Practice Midwife Smithtown, NY

Practice location

Address: 88 Maple Ave, Smithtown, NY 11787-3502
Phone: (631) 486-0832
Fax: (631) 504-0723
Mailing address: PO Box 405, Ridge, NY 11961-0405

Authorised official

Name: Ashley J Meccariello
Title: Owner/Partner
Phone: (914) 274-0791

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X

Other Advanced Practice Midwife providers in New York →

Registry record

NPI: 1013791193
Entity type: Organization
NPI issued: 21 Aug 2023
Record last updated: 21 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.