| NPI | 1295037901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA GUSSACK Director 914-421-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY F000334) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY F000403) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |