# GASTROENTEROLOGY OF WESTCHESTER OBS LLC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083896062
- **Authorized official:** JOSE LANTIN MD (PRESIDENT)
- **Authorized official phone:** (914) 375-6400

## Contact information

- **Practice address:** 970 NORTH BROADWAY, SUITE 305B, YONKERS, NY 10701
- **Practice address phone:** (914) 375-6400
- **Practice address fax:** (914) 375-2831
- **Mailing address:** 970 NORTH BROADWAY, SUITE 305B, YONKERS, NY 10701
- **Mailing address phone:** (914) 375-6400
- **Mailing address fax:** (914) 375-2831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2007
- **Last updated:** 11/30/2007