Healthcare Provider Details

I. General information

NPI: 1558273888
Provider Name (Legal Business Name): ARIEL PRIME
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 OCEAN AVE APT 5D
BROOKLYN NY
11226-3827
US

IV. Provider business mailing address

625 OCEAN AVE APT 5D
BROOKLYN NY
11226-3827
US

V. Phone/Fax

Practice location:
  • Phone: 347-567-7903
  • Fax:
Mailing address:
  • Phone: 347-567-7903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number245404646
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: