Organization
GERIATRIC MEDICAL SERVICE OF WESTCHESTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVANG DAVE M.D. (PRESIDENT)
(914) 572-6128
Entity
Organization
Contact information
Practice address
11 DELLWOOD LN, ARDSLEY, NY 10502-1309
(914) 231-5725
Mailing address
11 DELLWOOD LN, ARDSLEY, NY 10502-1309
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
187890
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02111306
—
NY
Enumeration date
03/28/2008
Last updated
10/06/2011
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