Provider Demographics
NPI:1255498747
Name:GASTROENTEROLOGY OF WESTCHESTER
Entity Type:Organization
Organization Name:GASTROENTEROLOGY OF WESTCHESTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:EHRLICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-779-3333
Mailing Address - Street 1:1 PONDFIELD RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-3706
Mailing Address - Country:US
Mailing Address - Phone:914-779-3333
Mailing Address - Fax:914-779-4028
Practice Address - Street 1:1 PONDFIELD RD
Practice Address - Street 2:SUITE 301
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3706
Practice Address - Country:US
Practice Address - Phone:914-779-3333
Practice Address - Fax:914-779-4028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY161939207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA62846Medicare UPIN