Organization
FAMILY MEDICINE OF WESTCHESTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLANDO CHUMACEIRO MD (OWNER)
(914) 207-0004
Entity
Organization
Contact information
Practice address
970 N BROADWAY, SUITE 309, YONKERS, NY 10701-1309
(914) 207-0004
(914) 965-0107
Mailing address
970 N BROADWAY, SUITE 309, YONKERS, NY 10701-1309
(914) 207-0004
(914) 965-0107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
191384
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000019311
GHI HMO
NY
05
—
01411710
—
NY
01
—
1000022031
AFFINITY
NY
01
—
16829012
CIGNA
NY
01
—
191384
CONNECTICARE
NY
01
—
380330P
HIP
NY
01
—
4627593
AETNA
NY
01
—
5051X1
BC/BS
NY
01
—
6C1432
HEALTHNET
NY
01
—
O164399
GHI PPO
NY
01
—
O694421
AETNA HMO
NY
01
—
P00000082060
GHI MEDICARE CHOICE
NY
01
—
W2T7T1
MEDICARE
NY
Enumeration date
06/15/2007
Last updated
04/20/2008
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