Basic Information
| Provider Information | |||||||||
| NPI: | 1124070800 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VALHALLA ANESTHESIA ASSOCIATES, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | WESTCHESTER MEDICAL CENTER, MACY PAVILION 2ND FL | ||||||||
| Address2: | 95 GRASSLANDS RD | ||||||||
| City: | VALHALLA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10595 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9144937692 | ||||||||
| FaxNumber: | 9144937927 | ||||||||
| Practice Location | |||||||||
| Address1: | WESTCHESTER MEDICAL CENTER, MACY PAVILION 2ND FL | ||||||||
| Address2: | 95 GRASSLANDS RD | ||||||||
| City: | VALHALLA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10595 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9144937692 | ||||||||
| FaxNumber: | 9144937927 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | PITHADIA | ||||||||
| AuthorizedOfficialFirstName: | RAJENDRA | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9143470380 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 01206606 | 05 | NY | MEDICAID |