Individual provider · NPI-1

Khurshida Achilova, CM, LM

Advanced Practice Midwife · Brooklyn, NY

NPI number1679179477
StatusActive
Last updated in NPPESMar 2, 2021

Details

NPI
1679179477
Entity type
Individual (NPI-1)
Name
Khurshida Achilova
Credential
CM, LM
Sex
Female
Sole proprietor
No
Enumeration date
Dec 7, 2020
Certification date
Mar 2, 2021
Last updated
Mar 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367A00000X Advanced Practice Midwife002046NYYes

Practice location

3047 Brighton 6th St Ste 1
Brooklyn, NY 11235-6534

Phone 718-743-7877

Mailing address

3047 Brighton 6th St Ste 1
Brooklyn, NY 11235-6534

Phone 718-743-7877

Other practice locations

14 Dekalb Ave Fl 2
Brooklyn, NY 11201-5311

Phone 718-875-4848

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