Individual
MS. MARTHA ANI BOUDAKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2425 CLOVER ST, ROCHESTER, NY 14618-4517
(585) 271-3323
(585) 271-3324
Mailing address
2425 CLOVER ST, ROCHESTER, NY 14618-4517
(585) 271-3323
(585) 271-3324
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F000745-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F000745-1
NYS MIDWIFE REGISTRATION CERTIFICATE
NY
Enumeration date
03/18/2010
Last updated
01/09/2021
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