Individual
AYESHA MUJTABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CNM
Contact information
Practice address
10426 ROOSEVELT AVE, CORONA, NY 11368-2328
(718) 219-2400
Mailing address
10426 ROOSEVELT AVE, CORONA, NY 11368-2328
(718) 219-2400
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
ARNP9367605
FL
367A00000X
Advanced Practice Midwife
Primary
F00195701
NY
Other
Enumeration date
09/27/2018
Last updated
05/27/2021
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