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SLEEPY HOLLOW MEDICAL GROUP@PHELPS NPI 1063580249


NPI Information

NPI: 1063580249
Provider Name: SLEEPY HOLLOW MEDICAL GROUP@PHELPS

Former Legal Business Name: SLEEPY HOLLOW MEDICAL GROUP PC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
755 N BROADWAY
SUITE 560
SLEEPY HOLLOW, NY
ZIP 10591
Phone: (914) 631-0337
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SLEEPY HOLLOW MEDICAL GROUP@PHELPS is an obstetrics gynecology in Sleepy Hollow, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SLEEPY HOLLOW MEDICAL GROUP@PHELPS NPI is 1063580249. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Sleepy Hollow Medical Group Pc.

The provider's business location address is:

755 N BROADWAY
SUITE 560
SLEEPY HOLLOW, NY
ZIP 10591-075
Phone: (914) 631-0337
Fax: (914) 631-0552

The provider's authorized official is Lawrence Mendelowitz .
The authorized official title is Partner Owner and has the following contact phone number (914) 631-0337.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 5/6/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W5H941MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
2W5H942MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
301640528MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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