Provider Demographics
NPI:1043410566
Name:SOUTHERN WESTCHESTER OB/GYN ASSOCIATES, LLP
Entity Type:Organization
Organization Name:SOUTHERN WESTCHESTER OB/GYN ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-963-0824
Mailing Address - Street 1:1022 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1303
Mailing Address - Country:US
Mailing Address - Phone:914-963-0284
Mailing Address - Fax:914-963-0517
Practice Address - Street 1:1022 N BROADWAY
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1303
Practice Address - Country:US
Practice Address - Phone:914-963-0284
Practice Address - Fax:914-963-0517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY8454650OtherAETNA PPO
NY0045828OtherAETNA HMO
NYCI4620OtherRAILROAD MEDICARE
NY0045828OtherAETNA HMO