Individual
MS. LISA HELEN GUSSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CNM
Contact information
Practice address
450 MAMARONECK AVE, HARRISON, NY 10528-2400
(914) 421-1500
(914) 421-1501
Mailing address
450 MAMARONECK AVE, HARRISON, NY 10528-2400
(914) 421-1500
(914) 421-1501
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F00109
NY
Other
Enumeration date
06/21/2010
Last updated
01/12/2017
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