Provider Demographics
NPI:1194939389
Name:NEW YORK ASSOCIATES IN GASTROENTEROLOGY, LLP
Entity type:Organization
Organization Name:NEW YORK ASSOCIATES IN GASTROENTEROLOGY, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:D
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-779-9053
Mailing Address - Street 1:688 WHITE PLAINS RD
Mailing Address - Street 2:SUITE 222
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5059
Mailing Address - Country:US
Mailing Address - Phone:914-725-9115
Mailing Address - Fax:914-725-3465
Practice Address - Street 1:1250 WATERS PL
Practice Address - Street 2:SUITE 1201
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2720
Practice Address - Country:US
Practice Address - Phone:718-239-0115
Practice Address - Fax:718-239-0446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWI0301Medicare ID - Type Unspecified