Provider Demographics
NPI:1114976966
Name:NEUROLOGY GROUP OF WESTCHESTER
Entity Type:Organization
Organization Name:NEUROLOGY GROUP OF WESTCHESTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YVES
Authorized Official - Middle Name:ANTOINE
Authorized Official - Last Name:LEBRUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-946-9444
Mailing Address - Street 1:244 WESTCHESTER AVE
Mailing Address - Street 2:SUITE 315
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2907
Mailing Address - Country:US
Mailing Address - Phone:904-946-9444
Mailing Address - Fax:914-946-5673
Practice Address - Street 1:244 WESTCHESTER AVE
Practice Address - Street 2:SUITE 315
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2907
Practice Address - Country:US
Practice Address - Phone:904-946-9444
Practice Address - Fax:914-946-5673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
W05611Medicare ID - Type UnspecifiedGROUP NUMBER