Provider Demographics
NPI:1477615458
Name:EASTCHESTER OBGYN PC
Entity Type:Organization
Organization Name:EASTCHESTER OBGYN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:AINSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-472-2222
Mailing Address - Street 1:700 POST RD
Mailing Address - Street 2:SUITE 241
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5063
Mailing Address - Country:US
Mailing Address - Phone:914-472-2222
Mailing Address - Fax:914-472-2434
Practice Address - Street 1:700 POST RD
Practice Address - Street 2:SUITE 241
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5063
Practice Address - Country:US
Practice Address - Phone:914-472-2222
Practice Address - Fax:914-472-2434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY194043207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE70100Medicare UPIN
NYG05645Medicare UPIN
NYH87434Medicare UPIN
NYD87342Medicare UPIN
NYG92715Medicare UPIN