Basic Information
| Provider Information | |||||||||
| NPI: | 1811066699 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FIET | ||||||||
| FirstName: | MARCY | ||||||||
| MiddleName: | ADINE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | C.N.M. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 700 MCCLELLAN ST | ||||||||
| Address2: | SUITE 206 | ||||||||
| City: | SCHENECTADY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 123041019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5183707937 | ||||||||
| FaxNumber: | 5183772983 | ||||||||
| Practice Location | |||||||||
| Address1: | 700 MCCLELLAN ST | ||||||||
| Address2: | SUITE 206 | ||||||||
| City: | SCHENECTADY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 123041019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5183707937 | ||||||||
| FaxNumber: | 5183772983 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2006 | ||||||||
| LastUpdateDate: | 09/02/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | F001242 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.