Healthcare Provider Details

I. General information

NPI: 1194939389
Provider Name (Legal Business Name): NEW YORK ASSOCIATES IN GASTROENTEROLOGY, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 03/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 WATERS PL SUITE 1201
BRONX NY
10461-2720
US

IV. Provider business mailing address

688 WHITE PLAINS RD SUITE 222
SCARSDALE NY
10583-5059
US

V. Phone/Fax

Practice location:
  • Phone: 718-239-0115
  • Fax: 718-239-0446
Mailing address:
  • Phone: 914-725-9115
  • Fax: 914-725-3465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. LAURA D. WOODS
Title or Position: PRACTICE MANAGER
Credential:
Phone: 914-779-9053