Provider Demographics
NPI:1043424229
Name:NEW YORK ASSOCIATES IN GASTROENTEROLOGY, LLP
Entity Type:Organization
Organization Name:NEW YORK ASSOCIATES IN GASTROENTEROLOGY, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:D
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-779-9053
Mailing Address - Street 1:688 POST RD
Mailing Address - Street 2:SUITE 222
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5059
Mailing Address - Country:US
Mailing Address - Phone:914-725-9115
Mailing Address - Fax:914-725-3465
Practice Address - Street 1:1 PONDFIELD RD W
Practice Address - Street 2:SUITE 1R
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-2666
Practice Address - Country:US
Practice Address - Phone:914-779-6200
Practice Address - Fax:914-779-4642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWI0302Medicare ID - Type Unspecified