Organization
HOME SWEET HOME BIRTH MIDWIFERY LLC
Active
Organization
HOME SWEET HOME BIRTH MIDWIFERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA HELEN GUSSACK CNM (DIRECTOR)
(914) 421-1515
Entity
Organization
Contact information
Practice address
1241 MAMARONECK AVE, WHITE PLAINS, NY 10605-5201
(914) 421-1515
(914) 421-1501
Mailing address
1241 MAMARONECK AVE, WHITE PLAINS, NY 10605-5201
(914) 421-1515
(914) 421-1501
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F000109
NY
176B00000X
Midwife
F000493
NY
176B00000X
Midwife
F001509-1
NY
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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