# FAMILY MEDICINE OF TARRYTOWN & OSSINING, LLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Medicine of Tarrytown & Ossining, LLP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336342864
- **Authorized official:** MRS. YAMILIS DE JESUS (BUSINESS MANAGER)
- **Authorized official phone:** (914) 631-1535

## Contact information

- **Practice address:** 200 S BROADWAY, SUITE A, TARRYTOWN, NY 10591-4500
- **Practice address phone:** (914) 631-1535
- **Practice address fax:** (914) 631-7654
- **Mailing address:** 200 S BROADWAY, SUITE A, TARRYTOWN, NY 10591-4500
- **Mailing address phone:** (914) 631-1535
- **Mailing address fax:** (914) 631-7654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 08/22/2020