Provider Demographics
NPI:1427332345
Name:WESTCHESTER HIGH-RISK OBSTETRICS, P.C.
Entity type:Organization
Organization Name:WESTCHESTER HIGH-RISK OBSTETRICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEOLLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-409-5454
Mailing Address - Street 1:1250 WATERS PL
Mailing Address - Street 2:SUITE 1206
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2720
Mailing Address - Country:US
Mailing Address - Phone:718-409-5454
Mailing Address - Fax:718-409-0857
Practice Address - Street 1:1250 WATERS PL
Practice Address - Street 2:SUITE 1206
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2720
Practice Address - Country:US
Practice Address - Phone:718-409-5454
Practice Address - Fax:718-409-0857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-11
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253587207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty