MEDICARE: SOUTHERN WESTCHESTER FAMILY MEDICINE, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1154393536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHERN WESTCHESTER FAMILY MEDICINE, P.C.

Provider Business Mailing Address
First Line	:	9 HIDDEN GLEN RD
Second Line	:
City	:	SCARSDALE
State	:	NY
Zip	:	10583-1230
Country	:	US
Telephone Number	:	914-375-4433
Fax Number	:

Provider Business Practice Location Address
First Line	:	147 PARK AVE
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10703-2937
Country	:	US
Telephone Number	:	914-375-4333
Fax Number	:	914-375-1771

Authorized Official
Title or Position	:	PHYSICAN / OWNER
Name	:	LUAY S MARJI
Credential	:	MD
Telephone Number	:	914-375-4433

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	01/08/2024

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