Individual
LISHA JEAN COSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC., OSSINING, NY 10562-4702
(914) 941-1263
(914) 941-0993
Mailing address
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC., OSSINING, NY 10562-4702
(914) 941-1263
(914) 941-0993
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F000153-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420328
—
NY
Enumeration date
12/15/2006
Last updated
07/12/2024
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