Provider Demographics
NPI:1699213280
Name:WESTCHESTER SURGICAL PRACTICE PLLC
Entity Type:Organization
Organization Name:WESTCHESTER SURGICAL PRACTICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OGEDI
Authorized Official - Middle Name:A
Authorized Official - Last Name:OHAJEKWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-337-9295
Mailing Address - Street 1:1 PONDFIELD RD W
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-2666
Mailing Address - Country:US
Mailing Address - Phone:914-337-9295
Mailing Address - Fax:914-202-9720
Practice Address - Street 1:1 PONDFIELD RD W
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-2666
Practice Address - Country:US
Practice Address - Phone:914-337-9295
Practice Address - Fax:914-202-9720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY193038261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty