Provider Demographics
NPI:1629300926
Name:WESTCHESTER VASCULAR PLLC
Entity Type:Organization
Organization Name:WESTCHESTER VASCULAR PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUNDARAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RAVIKUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-591-8400
Mailing Address - Street 1:88 ASHFORD AVE
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-1812
Mailing Address - Country:US
Mailing Address - Phone:914-591-8400
Mailing Address - Fax:914-591-7367
Practice Address - Street 1:88 ASHFORD AVE
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1812
Practice Address - Country:US
Practice Address - Phone:914-591-8400
Practice Address - Fax:914-591-7367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty