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Organization

WESTSIDE NEW YORK MEDICAL, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NONYELU IRUOMA ANYICHIE MD (OWNER / MD)
(914) 699-7700
Entity
Organization

Contact information

Practice address
105 STEVENS AVE, SUITE 209, MOUNT VERNON, NY 10550-2686
(914) 699-7700
(914) 699-7701
Mailing address
40 WOODLAND RD, PLEASANTVILLE, NY 10570-1322
(914) 699-7700
(914) 699-7701

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary

Other

Enumeration date
07/21/2015
Last updated
07/21/2015
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