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Contact Information

369 MEDICAL PRACTICE PC
369 WHITE PLAINS RD FL 2
EASTCHESTER, NY10709-2805
 Phone: 914-395-3691
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for 369 MEDICAL PRACTICE PC · (Female)

NPI # 1376141325
Status Active
Credentials
Entity Individual
Enumeration date 10/13/2020
Last updated 10/17/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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