Boudakian, Martha Ani

Boudakian, Martha Ani is an individual health care provider with primary practice located at 2425 Clover St , Rochester NY 14618-4517. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Boudakian, Martha Ani can be contacted via phone (585) 271-3323.

Contact Information

Primary practice address
2425 Clover St Rochester NY 14618-4517
Phone: (585) 271-3323
Fax: (585) 271-3324
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F000745-1 New York

Profile Details

NPI number 1891019964
LBN Legal business name Boudakian, Martha Ani
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2010
Last updated Jan 9th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891019964 NPPES
New York Other F000745-1 NYS MIDWIFE REGISTRATION CERTIFICATE

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