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Organization

NORTHERN WESTCHESTER FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PR

Active
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Organization

NORTHERN WESTCHESTER FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLLEEN U INGRASSIA PA (PHYSICIAN ASSISTANT)
(914) 666-1200
Entity
Organization

Contact information

Practice address
400 E MAIN ST, MOUNT KISCO, NY 10549-3417
(914) 666-1200
(914) 242-8363
Mailing address
400 E MAIN ST, MOUNT KISCO, NY 10549-3417
(914) 666-1200
(914) 242-8363

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
07/08/2024
Last updated
07/08/2024
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