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Lauren Budow

Individual provider Active NPI Pediatrics Physician · Katonah, NY

NPI 1417010802 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1417010802
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
172131 (NY)
Practice address
800 Cross River Rd
Katonah, NY 10536-3549
Phone
(914) 763-8151
Fax
(914) 763-2519
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
172131NYMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Group Medical Associates, P.C Pediatrics Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 172131 NY
Pediatrics Physician 208000000X 172131 NY Yes

Addresses

Primary practice location

800 Cross River Rd
Katonah, NY 10536-3549

Mailing address

800 Cross River Rd
Katonah, NY 10536-3549
Phone (914) 763-8151

Other practice location 1

14 East 90th Street
New York, NY 10128
Phone (212) 987-1414

Other providers in Katonah, NY

All providers in Katonah, NY · Pediatrics Physician in New York

Sources for this page

Verify at the official NPI Registry.