Basic Information
| Provider Information | |||||||||
| NPI: | 1942492715 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WESTCHESTER MEDICAL CENTER, VALHALLA NY 10595 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 95 GRASSLANDS ROAD | ||||||||
| Address2: | WESTCHESTER MEDICAL CENTER | ||||||||
| City: | VALHALLA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10595 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9144937000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 95 GRASSLANDS ROAD | ||||||||
| Address2: | WESTCHESTER MEDICAL CENTER | ||||||||
| City: | VALHALLA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10595 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9144937000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2007 | ||||||||
| LastUpdateDate: | 08/15/2007 | ||||||||
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| AuthorizedOfficialLastName: | CLEMENTE | ||||||||
| AuthorizedOfficialFirstName: | MARIA ROSARIO | ||||||||
| AuthorizedOfficialMiddleName: | SAMSON | ||||||||
| AuthorizedOfficialTitleorPosition: | NURSE PRACTITIONER | ||||||||
| AuthorizedOfficialTelephone: | 9144552619 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | R.N., APRN-BC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | F301551-1 | NY | Y | Hospitals | General Acute Care Hospital |
No ID Information.