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Organization
FULL CIRCLE MIDWIFERY
Active
Organization
FULL CIRCLE MIDWIFERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GUSSACK (DIRECTOR)
(914) 421-1500
Entity
Organization
Contact information
Practice address
1241 MAMARONECK AVE, WHITE PLAINS, NY 10605-5201
(914) 421-1500
(914) 421-1501
Mailing address
1241 MAMARONECK AVE, WHITE PLAINS, NY 10605-5201
(914) 421-1500
(914) 421-1501
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
F000109
NY
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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