Most Relevant Information
Provider Data
| NPI Number: | 1003391863 |
| Provider Name: | AYESHA MUJTABA ARNP, CNM |
| Entity Type: | Individual |
| Taxonomy Code: | 367A00000X |
| Specialty: | Advanced Practice Midwife |
| License Number: | ARNP9367605 |
Most Important Dates
| Enumeration Date: | 09/27/2018 |
| Last Updated: | 05/27/2021 |
Provider Practice Location
10426 ROOSEVELT AVE
CORONA
NY
113682328
Practice Location Phone/Fax
| Phone: | 7182192400 |
| Fax: |
Provider Mailing Location
10426 ROOSEVELT AVE
CORONA
NY
113682328
Provider Mailing Phone/Fax
| Phone: | 7182192400 |
| Fax: |