Healthcare Provider Details

I. General information

NPI: 1053635276
Provider Name (Legal Business Name): VASCULAR SURGEONS OF WESTCHESTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2010
Last Update Date: 10/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 BRADHURST AVE SUITE 700
HAWTHORNE NY
10532-2140
US

IV. Provider business mailing address

PO BOX 9
HAWTHORNE NY
10532-0009
US

V. Phone/Fax

Practice location:
  • Phone: 914-593-1200
  • Fax: 914-593-7881
Mailing address:
  • Phone: 914-593-7880
  • Fax: 914-593-7881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number117305
License Number StateNY

VIII. Authorized Official

Name: DR. SATEESH BABU
Title or Position: PRESIDENT
Credential:
Phone: 914-593-1200