Healthcare Provider Details
I. General information
NPI: 1073741179
Provider Name (Legal Business Name): WESTCHESTER PHYSICIAN ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2009
Last Update Date: 09/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
102 PARK AVE
YONKERS NY
10703-2934
US
IV. Provider business mailing address
102 PARK AVE
YONKERS NY
10703-2934
US
V. Phone/Fax
- Phone: 914-965-7625
- Fax: 914-965-7625
- Phone: 914-965-7625
- Fax: 914-965-7625
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
JOANNE
SAYEGH
Title or Position: OFFICE MANAGER
Credential:
Phone: 914-965-4300