Provider Demographics
NPI:1568769677
Name:SIV OPHTHALMOLOGY PC
Entity Type:Organization
Organization Name:SIV OPHTHALMOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:RATHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-536-2020
Mailing Address - Street 1:4 SUNRISE LN
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3143
Mailing Address - Country:US
Mailing Address - Phone:914-725-6530
Mailing Address - Fax:914-610-4245
Practice Address - Street 1:984 N BROADWAY
Practice Address - Street 2:SUITE 314
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1318
Practice Address - Country:US
Practice Address - Phone:914-709-0659
Practice Address - Fax:914-610-4245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204631207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG49320Medicare UPIN