Provider Demographics
NPI:1205209343
Name:FAMILY MEDICINE ASSOCIATES OF YONKERS, P.C.
Entity Type:Organization
Organization Name:FAMILY MEDICINE ASSOCIATES OF YONKERS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-375-4433
Mailing Address - Street 1:PO BOX 724
Mailing Address - Street 2:
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-0724
Mailing Address - Country:US
Mailing Address - Phone:914-375-4433
Mailing Address - Fax:
Practice Address - Street 1:147 PARK AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10703-2937
Practice Address - Country:US
Practice Address - Phone:914-375-4433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty