Provider Demographics
NPI:1922089291
Name:NEW ROCHELLE PATHOLOGY SRVS PC
Entity Type:Organization
Organization Name:NEW ROCHELLE PATHOLOGY SRVS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR LABORATORY AND PATHOLOGY
Authorized Official - Prefix:MRS
Authorized Official - First Name:DRAGOSLAVA
Authorized Official - Middle Name:B
Authorized Official - Last Name:ZAMUROVIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-637-1670
Mailing Address - Street 1:16 GUION PL
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5503
Mailing Address - Country:US
Mailing Address - Phone:914-637-1670
Mailing Address - Fax:914-632-2927
Practice Address - Street 1:16 GUION PL
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5503
Practice Address - Country:US
Practice Address - Phone:914-637-1670
Practice Address - Fax:914-632-2927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-14
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33DO653713207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100001624Medicare PIN