Northern Westchester Faculty Medical Affiliates, University Faculty Pr
Physician Assistant in Mount Kisco, NY. Organization (NPI-2).
NPI number1245076355
StatusActive
Last updated in NPPESJul 8, 2024
Details
- NPI
- 1245076355
- Entity type
- Organization (NPI-2)
- Legal business name
- Northern Westchester Faculty Medical Affiliates, University Faculty Pr
- Organization subpart
- No
- Enumeration date
- Jul 8, 2024
- Certification date
- Jul 8, 2024
- Last updated
- Jul 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
400 E Main StMount Kisco, NY 10549-3417
Phone 914-666-1200 · Fax 914-242-8363
Mailing address
400 E Main StMount Kisco, NY 10549-3417
Phone 914-666-1200 · Fax 914-242-8363
Authorized official
Colleen U Ingrassia
Physician Assistant
9146661200
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