Healthcare Provider Details

I. General information

NPI: 1932130432
Provider Name (Legal Business Name): SARLA M. KHUSHALANI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ST. JOHN'S RIVERSIDE HOSPITAL 967 NORTH BROADWAY
YONKERS NY
10701
US

IV. Provider business mailing address

83 MAIN STREET D3
TARRYTOWN NY
10591
US

V. Phone/Fax

Practice location:
  • Phone: 914-964-4444
  • Fax:
Mailing address:
  • Phone: 914-631-6377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. SARLA M KHUSHALANI
Title or Position: SOLE PROPRIETOR
Credential: M.D.
Phone: 914-631-6377