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Organization

GASTROENTEROLOGY OF WESTCHESTER, LLC

Active
Other names
GASTROENTEROLOGY OF WESTCHESTER, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE LANTIN MD (CEO)
(914) 391-1274
Entity
Organization

Contact information

Practice address
1086 N BROADWAY, SUITE 50, YONKERS, NY 10701-1107
(914) 375-2751
(914) 375-2831
Mailing address
PO BOX 788, HARRISON, NY 10528-0788
(914) 391-1274

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
161138B
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CON: 161138B
CERTIFICATE OF NEED: ARTICLE 28
NY
Enumeration date
09/23/2016
Last updated
04/07/2017
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