| Southern Westchester Medical Pc | |
|
944 N Broadway Ste G04 Yonkers NY 10701-1307 | |
| (914) 376-2800 | |
| (914) 376-2808 |
| Full Name | Southern Westchester Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 944 N Broadway Ste G04, Yonkers, New York |
| Authorized Official Name and Position | Joseph Nshiewat (OWNER) |
| Authorized Official Contact | 9143762800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Westchester Medical Pc 944 N Broadway Ste G04 Yonkers NY 10701-1307 Ph: () - | Southern Westchester Medical Pc 944 N Broadway Ste G04 Yonkers NY 10701-1307 Ph: (914) 376-2800 |
| NPI Number | 1174138382 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 03/12/2024 |
| Medicare PECOS PAC ID | 7315354784 |
|---|---|
| Medicare Enrollment ID | O20210331001822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174138382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Joseph Nshiewat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609223429 PECOS PAC ID: 0840627139 Enrollment ID: I20200226001669 |
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