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General NPI Number Information
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NPI Number | 1154393536
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Entity Type | Organization
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Legal Business Name | SOUTHERN WESTCHESTER FAMILY MEDICINE, P.C.
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 147 PARK AVE
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City | YONKERS
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State | NY
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Zip | 10703-2937
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Country | US
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Telephone | 914-375-4333
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Fax | 914-375-1771
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Provider Business Mailing Address
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Address Line | 9 HIDDEN GLEN RD
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City | SCARSDALE
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State | NY
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Zip | 10583-1230
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Country | US
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Telephone | 914-375-4433
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Fax |
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Authorized Official
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Title or Position | PHYSICAN / OWNER
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Name | LUAY S MARJI
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Credential | MD
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Telephone | 914-375-4433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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