Provider Demographics
NPI:1144372913
Name:DOC MEDICAL OFFICE OF HARTSDALE
Entity type:Organization
Organization Name:DOC MEDICAL OFFICE OF HARTSDALE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJEEV
Authorized Official - Middle Name:
Authorized Official - Last Name:SINDHWANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-779-2995
Mailing Address - Street 1:116 FIFTH AVE
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-1504
Mailing Address - Country:US
Mailing Address - Phone:914-948-3627
Mailing Address - Fax:914-948-3627
Practice Address - Street 1:141 S CENTRAL AVE
Practice Address - Street 2:STE 207
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-2319
Practice Address - Country:US
Practice Address - Phone:914-948-3627
Practice Address - Fax:914-948-3513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWYQYZ1Medicare PIN
NYWYRPT1Medicare PIN