Provider Demographics
NPI:1376624239
Name:NEUROLOGY ASSOCIATES OF WESTCHESTER PLLC
Entity Type:Organization
Organization Name:NEUROLOGY ASSOCIATES OF WESTCHESTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BRIJ
Authorized Official - Middle Name:M S
Authorized Official - Last Name:AHLUWALIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-594-2200
Mailing Address - Street 1:40 SUNSHINE COTTAGE ROAD
Mailing Address - Street 2:NEW YORK MEDICAL COLLEGE, NEUROLOGY DEPT.
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595
Mailing Address - Country:US
Mailing Address - Phone:914-594-2200
Mailing Address - Fax:914-594-2201
Practice Address - Street 1:19 BRADHURST AVE
Practice Address - Street 2:STE 2850
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2140
Practice Address - Country:US
Practice Address - Phone:914-345-1313
Practice Address - Fax:914-345-5004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCB3635OtherRAILROAD MEDICARE
NYCB3635OtherRAILROAD MEDICARE