Provider Demographics
NPI:1083675300
Name:CARDIOLOGY CONSULTANTS OF WESTCHESTER
Entity Type:Organization
Organization Name:CARDIOLOGY CONSULTANTS OF WESTCHESTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-593-7800
Mailing Address - Street 1:PO BOX 5801
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-5801
Mailing Address - Country:US
Mailing Address - Phone:914-593-7800
Mailing Address - Fax:914-593-7881
Practice Address - Street 1:ROUTE 22
Practice Address - Street 2:PALEN PAVILION
Practice Address - City:MARGARETVILLE
Practice Address - State:NY
Practice Address - Zip Code:12455
Practice Address - Country:US
Practice Address - Phone:845-339-8700
Practice Address - Fax:914-593-7881
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARDIOLOGY CONSULTANTS OF WESTCHESTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-28
Last Update Date:2008-07-22
Deactivation Date:2008-01-30
Deactivation Code:
Reactivation Date:2008-03-04
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWX0943Medicare PIN