1376624239 NPI number — NEUROLOGY ASSOCIATES OF WESTCHESTER PLLC

Table of content: (NPI 1376624239)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376624239 NPI number — NEUROLOGY ASSOCIATES OF WESTCHESTER PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEUROLOGY ASSOCIATES OF WESTCHESTER PLLC
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:
1376624239
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/10/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
40 SUNSHINE COTTAGE ROAD
Provider Second Line Business Mailing Address:
NEW YORK MEDICAL COLLEGE, NEUROLOGY DEPT.
Provider Business Mailing Address City Name:
VALHALLA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10595
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-594-2200
Provider Business Mailing Address Fax Number:
914-594-2201

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19 BRADHURST AVE
Provider Second Line Business Practice Location Address:
STE 2850
Provider Business Practice Location Address City Name:
HAWTHORNE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10532-2140
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-345-1313
Provider Business Practice Location Address Fax Number:
914-345-5004
Provider Enumeration Date:
10/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
AHLUWALIA
Authorized Official First Name:
BRIJ
Authorized Official Middle Name:
M S
Authorized Official Title or Position:
MANAGING MEMBER
Authorized Official Telephone Number:
914-594-2200

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: CB3635 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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