Provider Demographics
NPI:1205922473
Name:PEDIATRIC ASSOCIATES OF SOUTHERN WESTCHESTER P C
Entity type:Organization
Organization Name:PEDIATRIC ASSOCIATES OF SOUTHERN WESTCHESTER P C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEISLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-235-1400
Mailing Address - Street 1:145 HUGUENOT STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801
Mailing Address - Country:US
Mailing Address - Phone:914-235-1400
Mailing Address - Fax:914-234-1534
Practice Address - Street 1:145 HUGUENOT STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801
Practice Address - Country:US
Practice Address - Phone:914-235-1400
Practice Address - Fax:914-234-1534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2017-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty