Provider Demographics
NPI:1598258865
Name:NORTHERN WESTCHESTER FACILITY PROJECT LLC
Entity Type:Organization
Organization Name:NORTHERN WESTCHESTER FACILITY PROJECT LLC
Other - Org Name:YORKTOWN CENTER FOR SPECIALTY SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAKE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEBASTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-962-0246
Mailing Address - Street 1:2651 STRANG BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-2941
Mailing Address - Country:US
Mailing Address - Phone:914-962-0246
Mailing Address - Fax:
Practice Address - Street 1:2651 STRANG BLVD STE 101
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-2941
Practice Address - Country:US
Practice Address - Phone:914-962-0246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-12
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory SurgicalGroup - Multi-Specialty