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Organization
GASTROENTEROLOGY OF WESTCHESTER, LLC
Active
Organization
GASTROENTEROLOGY OF WESTCHESTER, LLC
Active
Other names
GASTROENTEROLOGY OF WESTCHESTER, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE LANTIN MD (CEO)
(914) 391-1274
Entity
Organization
Contact information
Practice address
1086 N BROADWAY, SUITE 50, YONKERS, NY 10701-1107
(914) 375-2751
(914) 375-2831
Mailing address
PO BOX 788, HARRISON, NY 10528-0788
(914) 391-1274
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
161138B
NY
Other
Enumeration date
09/23/2016
Last updated
04/07/2017
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