Individual
AISHA LANIECE OLIVACCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
974 BERGEN ST APT B, BROOKLYN, NY 11216-2904
(646) 932-2633
Mailing address
974 BERGEN ST APT B, BROOKLYN, NY 11216-2904
(646) 932-2633
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F001916-1
NY
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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