Organization
MUJTABA WOMEN'S HEALTH MIDWIFERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYESHA MUJTABA CNM (DIRECTOR)
(718) 219-2400
Entity
Organization
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
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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