Individual
MRS. MAEL OTHELOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-5977
Mailing address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-5000
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
001712
NY
Other
Enumeration date
08/28/2016
Last updated
09/14/2023
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