Provider Demographics
NPI:1235666140
Name:NEW YORK WEIGHT LOSS & SURGERY PC
Entity Type:Organization
Organization Name:NEW YORK WEIGHT LOSS & SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-551-2052
Mailing Address - Street 1:1053 SAW MILL RIVER RD STE LL1
Mailing Address - Street 2:
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-1048
Mailing Address - Country:US
Mailing Address - Phone:914-361-1835
Mailing Address - Fax:914-351-2316
Practice Address - Street 1:1053 SAW MILL RIVER RD STE LL1
Practice Address - Street 2:
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-1048
Practice Address - Country:US
Practice Address - Phone:914-361-1835
Practice Address - Fax:914-351-2316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-23
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty