Provider Demographics
NPI:1174665475
Name:SOUTHERN WESTCHESTER OPHTHALMOLOGY P.C.
Entity Type:Organization
Organization Name:SOUTHERN WESTCHESTER OPHTHALMOLOGY P.C.
Other - Org Name:WESTCHESTER EYE M.D.S
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:MORELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-633-7214
Mailing Address - Street 1:120 WARREN ST
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5403
Mailing Address - Country:US
Mailing Address - Phone:914-633-7214
Mailing Address - Fax:914-633-7634
Practice Address - Street 1:120 WARREN ST
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5403
Practice Address - Country:US
Practice Address - Phone:914-633-7214
Practice Address - Fax:914-633-7634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEP001Medicare ID - Type Unspecified