Provider Demographics
NPI:1033446224
Name:WHITE PLAINS HOSPITAL MEDICAL CENTER
Entity Type:Organization
Organization Name:WHITE PLAINS HOSPITAL MEDICAL CENTER
Other - Org Name:WHITE PLAINS HOSPITAL EMERGENCY PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP/MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PALUMBO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-681-1158
Mailing Address - Street 1:41 E POST ROAD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4615
Mailing Address - Country:US
Mailing Address - Phone:914-681-2208
Mailing Address - Fax:914-681-2878
Practice Address - Street 1:41 E POST ROAD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4615
Practice Address - Country:US
Practice Address - Phone:914-681-2208
Practice Address - Fax:914-681-2878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-09
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207P00000X, 207RC0200X, 282N00000X, 282NC0060X
NY5902001H282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282N00000XHospitalsGeneral Acute Care HospitalGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
CH7599OtherRAILROAD MEDICARE
CH7599OtherRAILROAD MEDICARE
=========-008OtherTRICARE