Organization
FULL CIRCLE WOMENS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA GUSSACK CNM (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
176B00000X
Midwife
Primary
F000334
NY
176B00000X
Midwife
F000403
NY
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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