1225308505 NPI number — WESTCHESTER CANCER SURGERY P.C.

Table of content: (NPI 1225308505)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225308505 NPI number — WESTCHESTER CANCER SURGERY P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WESTCHESTER CANCER SURGERY P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225308505
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/06/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 281H
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SCARSDALE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10583-8781
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
312-543-9642
Provider Business Mailing Address Fax Number:
914-513-2777

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
955 YONKERS AVE
Provider Second Line Business Practice Location Address:
SUITE11
Provider Business Practice Location Address City Name:
YONKERS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10704-3060
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-751-7911
Provider Business Practice Location Address Fax Number:
914-237-4510
Provider Enumeration Date:
01/04/2012

Additional Information

Authorized Official

Authorized Official Last Name:
SHAFAEE
Authorized Official First Name:
ZAHRA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
312-543-9642

Provider Taxonomy Codes

  • Taxonomy code: 2086X0206X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com