Maryam Mirzaagha, C.M
Midwife in Brooklyn, NY. Individual provider (NPI-1).
NPI number1417209651
StatusActive
Last updated in NPPESAug 13, 2021
Details
- NPI
- 1417209651
- Entity type
- Individual (NPI-1)
- Name
- Maryam Mirzaagha
- Credential
- C.M
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2012
- Certification date
- Aug 13, 2021
- Last updated
- Aug 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 176B00000X | Midwife | F001482 | NY | Yes |
Practice location
121 Dekalb AveBrooklyn, NY 11201-5425
Phone 718-250-8000
Mailing address
121 Dekalb AveBrooklyn, NY 11201-5425
Phone 718-250-8000
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