Healthcare Provider Details

I. General information

NPI: 1083401384
Provider Name (Legal Business Name): MARIUM MOIN ARACHE CNM, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIUM MOIN HUSSAINI

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1080 SUNRISE HWY
AMITYVILLE NY
11701-2526
US

IV. Provider business mailing address

PO BOX 5036
WHITE PLAINS NY
10602-5036
US

V. Phone/Fax

Practice location:
  • Phone: 631-716-9026
  • Fax: 631-450-9041
Mailing address:
  • Phone: 914-898-9421
  • Fax: 914-734-8786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number779820
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberF002403
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: