| NPI | 1376969097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HELEN GUSSACK Director 914-421-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY F000109) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY F000493) |
| 176B00000X Midwife (Licence: NY F001509-1) | |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |