Individual
DR. T'KARIMA TICITL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CM, LM
Contact information
Practice address
72 GASKILL AVE, EDISON, NJ 08817-3423
(917) 284-7791
Mailing address
9 CHESHIRE ST, HUNTINGTON STATION, NY 11746-1214
(917) 284-7791
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F001975
NY
Other
Enumeration date
01/29/2013
Last updated
11/27/2019
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