Organization
NORTHERN WESTCHESTER SURGICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP C. BONANNO M.D. (DIRECTOR)
(914) 242-7640
Entity
Organization
Contact information
Practice address
400 E MAIN ST, NORTHERN WESTCHESTER HOSPITAL - NORTH BUILDING, MOUNT KISCO, NY 10549-3417
(914) 242-7622
(914) 242-3239
Mailing address
400 E MAIN ST, NORTHERN WESTCHESTER HOSPITAL - MEDICAL AFFAIRS, MOUNT KISCO, NY 10549-3417
(914) 242-7622
(914) 242-3239
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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