Organization
WESTCHESTER DIGESTIVE DISEASE GROUP, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER K WAYNE MD (PARTNER)
(914) 969-1115
Entity
Organization
Contact information
Practice address
469 N BROADWAY, YONKERS, NY 10701-1923
(914) 969-1115
(914) 968-0402
Mailing address
469 N BROADWAY, YONKERS, NY 10701-1923
(914) 969-1115
(914) 968-0402
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
132616
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC7825
PALMETTO GBA
NY
Enumeration date
01/03/2008
Last updated
05/09/2008
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