Healthcare Provider Details
I. General information
NPI: 1942792460
Provider Name (Legal Business Name): SYMPHONY MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/31/2018
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
967 N BROADWAY
YONKERS NY
10701-1301
US
IV. Provider business mailing address
967 N BROADWAY
YONKERS NY
10701-1301
US
V. Phone/Fax
- Phone: 914-964-4444
- Fax:
- Phone: 914-964-4370
- Fax: 844-513-4095
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HEIDY
CABRAL
Title or Position: MANAGER
Credential:
Phone: 914-964-4370