Healthcare Provider Details

I. General information

NPI: 1396848800
Provider Name (Legal Business Name): BARRY ELLIOT FIELD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WESTCHESTER GASTROENTEROLOGY ASSOC. PC 777 NORTH BROADWAY, SUITE # 305
SLEEPY HOLLOW NY
10591
US

IV. Provider business mailing address

WESTCHESTER GASTROENTEROLOGY ASSOC. PC 777 NORTH BROADWAY, SUITE # 305
SLEEPY HOLLOW NY
10591
US

V. Phone/Fax

Practice location:
  • Phone: 914-366-6120
  • Fax: 914-366-4128
Mailing address:
  • Phone: 914-366-6120
  • Fax: 914-366-4128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number116776
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: