Organization Name: | NEW ROCHELLE MEDICAL SERVICES, PC DIVISION OF OBGYN |
NPI Number: | 1033183132 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS LANDY (CFO) |
Mailing Address: | 110 Lockwood Ave Suite 300 New Rochelle |
State: | NY US |
Postal Code: | 108015028 |
Phone Number: | 9146328164 |
Fax Number: | 9146322184 |
NPI Enumeration Date: | 02/15/2006 |
NPI Last Update Date: | 10/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |