Organization
NORTHERN WESTCHESTER SURGICAL ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE E GORDON D.O. (OWNER)
(845) 526-2080
Entity
Organization
Contact information
Practice address
11 PEEKSKILL HOLLOW RD, PUTNAM VALLEY, NY 10579-3200
(845) 526-2080
(845) 526-2082
Mailing address
11 PEEKSKILL HOLLOW RD, PO BOX 97, PUTNAM VALLEY, NY 10579-3200
(845) 526-2080
(845) 526-2082
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
236050
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WWR251
MEDICARE GROUP NUMBER
NY
Enumeration date
04/03/2007
Last updated
11/20/2007
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