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General NPI Number Information
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NPI Number | 1598937013
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Entity Type | Organization
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Legal Business Name | EYE CENTER OF WESTCHESTER M D P C
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 09/15/2011
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Provider Practice Location Address
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Address Line | 751 KIMBALL AVE
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City | YONKERS
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State | NY
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Zip | 10704-1534
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Country | US
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Telephone | 914-237-4700
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Fax | 914-237-1354
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Provider Business Mailing Address
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Address Line | 751 KIMBALL AVE
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City | YONKERS
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State | NY
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Zip | 10704-1534
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Country | US
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Telephone | 914-237-4700
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Fax | 914-237-1354
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Authorized Official
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Title or Position | CEO
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Name | DR. JONATHAN M KAGAN
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Credential | MD
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Telephone | 212-570-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 112332
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License Number State | NY
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