| Southern Westchester Family Medicine, Pc | |
|
147 Park Ave Yonkers NY 10703-2937 | |
| (914) 375-4333 | |
| (914) 375-1771 |
| Full Name | Southern Westchester Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 147 Park Ave, Yonkers, New York |
| Authorized Official Name and Position | Luay S Marji (PHYSICAN / OWNER) |
| Authorized Official Contact | 9143754433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Westchester Family Medicine, Pc 9 Hidden Glen Rd Scarsdale NY 10583-1230 Ph: (914) 375-4433 | Southern Westchester Family Medicine, Pc 147 Park Ave Yonkers NY 10703-2937 Ph: (914) 375-4333 |
| NPI Number | 1154393536 |
|---|---|
| Provider Enumeration Date | 02/01/2006 |
| Last Update Date | 01/08/2024 |
| Medicare PECOS PAC ID | 4082638044 |
|---|---|
| Medicare Enrollment ID | O20090825000490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154393536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Luay S Marji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477532828 PECOS PAC ID: 3678594520 Enrollment ID: I20051207000889 |
| Provider Name | Latha Thanneer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306927579 PECOS PAC ID: 0547456709 Enrollment ID: I20101130000631 |
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