Individual
MS. MIMI MAULELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-6930
Mailing address
9125 153RD AVE, HOWARD BEACH, NY 11414-1603
(718) 843-0603
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F000231
NY
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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