MEDICARE: FAMILY MEDICINE ASSOCIATES OF YONKERS, 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		NY

General Provider Information

NPI Number	:	1205209343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY MEDICINE ASSOCIATES OF YONKERS, P.C.

Provider Business Mailing Address
First Line	:	PO BOX 724
Second Line	:
City	:	ARDSLEY
State	:	NY
Zip	:	10502-0724
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	:	914-375-4433
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	DR. LUAY MARJI
Credential	:	MD
Telephone Number	:	914-375-4433

Provider Enumeration Date	:	11/12/2015
Last Update Date	:	07/21/2022

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