| Southern Westchester Infectious Disease Group, Pllc | |
|
970 N Broadway Suite 212 Yonkers NY 10701-1309 | |
| (914) 376-1543 | |
| (914) 376-2761 |
| Full Name | Southern Westchester Infectious Disease Group, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 970 N Broadway, Yonkers, New York |
| Authorized Official Name and Position | Peter B Berkey (PRESIDENT) |
| Authorized Official Contact | 9143761543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Westchester Infectious Disease Group, Pllc 970 N Broadway Suite 212 Yonkers NY 10701-1309 Ph: (914) 376-1543 | Southern Westchester Infectious Disease Group, Pllc 970 N Broadway Suite 212 Yonkers NY 10701-1309 Ph: (914) 376-1543 |
| NPI Number | 1154482271 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 10/16/2011 |
| Medicare PECOS PAC ID | 0547151094 |
|---|---|
| Medicare Enrollment ID | O20040323001349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154482271 | NPI | - | NPPES |
| CJ3556 | Other | NY | RR MEDICARE |
| 01677807 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New York) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (New York) | Primary |
| Provider Name | Steven A Barry |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720156094 PECOS PAC ID: 2961578893 Enrollment ID: I20100604000261 |
| Provider Name | Peter Berkey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881761245 PECOS PAC ID: 6406922335 Enrollment ID: I20101109000585 |
| Provider Name | Radhika Hariharan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194893461 PECOS PAC ID: 8820283476 Enrollment ID: I20101109001319 |
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