Provider Demographics
NPI:1346276748
Name:ADVANCED DERMATOLOGY OF WESTCHESTER, PLLC
Entity Type:Organization
Organization Name:ADVANCED DERMATOLOGY OF WESTCHESTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:STURZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-631-4666
Mailing Address - Street 1:150 WHITE PLAINS RD STE210
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5535
Mailing Address - Country:US
Mailing Address - Phone:914-631-4666
Mailing Address - Fax:914-631-4669
Practice Address - Street 1:150 WHITE PLAINS RD STE210
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5535
Practice Address - Country:US
Practice Address - Phone:914-631-4666
Practice Address - Fax:914-631-4669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty