Basic Information
| Provider Information | |||||||||
| NPI: | 1538606363 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | WESTCHESTER HEALTH MEDICAL P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 465 COLUMBUS AVE | ||||||||
| Address2: | |||||||||
| City: | VALHALLA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105951336 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147691600 | ||||||||
| FaxNumber: | 9147691610 | ||||||||
| Practice Location | |||||||||
| Address1: | 465 COLUMBUS AVE | ||||||||
| Address2: | |||||||||
| City: | VALHALLA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105951336 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147691600 | ||||||||
| FaxNumber: | 9147691610 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/31/2017 | ||||||||
| LastUpdateDate: | 01/31/2017 | ||||||||
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| AuthorizedOfficialLastName: | SHAPIRO | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | EXECUTIVE VICE PRESIDENT & CFO | ||||||||
| AuthorizedOfficialTelephone: | 5163216025 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | NORTHERN WESTCHESTER HOSPITAL | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | NY | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
No ID Information.