# SR PA NY PLLC

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

## Provider details

- **NPI number:** 1982564738
- **Authorized official:** MR. STUART REICH PA (OWNER)
- **Authorized official phone:** (845) 548-5459

## Contact information

- **Practice address:** 967 N BROADWAY, YONKERS, NY 10701-1301
- **Practice address phone:** (845) 548-5459
- **Mailing address:** 115 FRANKLIN TPKE STE 238, MAHWAH, NJ 07430-1325
- **Mailing address phone:** (845) 548-5459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2025
- **Last updated:** 11/14/2025
