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Organization
DIGESTIVE DISEASE NUTRITION CONSULTANTS OF WESTCHESTER, LLP
Active
Organization
DIGESTIVE DISEASE NUTRITION CONSULTANTS OF WESTCHESTER, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK ROSEMARIN M.D. (OWNER)
(914) 683-1555
Entity
Organization
Contact information
Practice address
2 WESTCHESTER PARK DRIVE., SUITE L1, WHITE PLAINS, NY 10604
(914) 683-1555
(914) 683-1026
Mailing address
2 WESTCHESTER PARK DRIVE., SUITE L1, WHITE PLAINS, NY 10604
(914) 683-1555
(914) 683-1026
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
138599
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01365764
—
NY
01
—
3V8062
BLUE CROSS BLUE SHIELD
NY
01
—
421AP1
BLUE CROSS BLUE SHIELD
NY
01
—
421AQ1
BLUE CROSS BLUE SHIELD
NY
01
—
4V9951
BLUE CROSS BLUE SHIELD
NY
01
—
810AY1
BLUE CROSS BLUE SHIELD
NY
Enumeration date
09/26/2006
Last updated
02/09/2017
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