Individual
ANASTASIA LIBOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459
(718) 589-2440
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
001552
NY
367A00000X
Advanced Practice Midwife
Primary
001552
NY
Other
Enumeration date
08/02/2013
Last updated
01/10/2019
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