Provider Demographics
NPI:1932262961
Name:WESTCHESTER FAMILY MEDICAL PRACTICE PC
Entity Type:Organization
Organization Name:WESTCHESTER FAMILY MEDICAL PRACTICE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IYAD
Authorized Official - Middle Name:NASAR
Authorized Official - Last Name:ANNABI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-375-2300
Mailing Address - Street 1:472 PALMER RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-5207
Mailing Address - Country:US
Mailing Address - Phone:914-375-2300
Mailing Address - Fax:914-375-0025
Practice Address - Street 1:472 PALMER RD
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-5207
Practice Address - Country:US
Practice Address - Phone:914-375-2300
Practice Address - Fax:914-375-0025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWVJ142Medicare ID - Type Unspecified