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BROOKSIDE GREENWICH OBSTETRICS & GYNECOLOGY ASSOCIATES P.C. NPI 1578588877


NPI Information

NPI: 1578588877
Provider Name: BROOKSIDE GREENWICH OBSTETRICS & GYNECOLOGY ASSOCIATES, P.C.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 07D0868089

Address:
1600 HARRISON AVE
SUITE 105
MAMARONECK, NY
ZIP 10543
Phone: (914) 777-6761
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BROOKSIDE GREENWICH OBSTETRICS & GYNECOLOGY ASSOCIATES, P.C. is a specialist in Mamaroneck, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BROOKSIDE GREENWICH OBSTETRICS & GYNECOLOGY ASSOCIATES, P.C. NPI is 1578588877. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1600 HARRISON AVE
SUITE 105
MAMARONECK, NY
ZIP 10543-145
Phone: (914) 777-6761
Fax: (914) 835-4805

The provider's authorized official is Jennifer Von Eiff .
The authorized official title is Practice Administrator and has the following contact phone number (203) 869-7080.

The CLIA number assigned to this NPI record is 07D0868089 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/13/2006 and was last updated on 8/22/2020.


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
1174400000XSpecialistYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.