Provider Demographics
NPI:1083913883
Name:NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
Entity Type:Organization
Organization Name:NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
Other - Org Name:WOUNDCARE/HYPERBARIC MEDICINE
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARTENZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-666-1310
Mailing Address - Street 1:480 BEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-1702
Mailing Address - Country:US
Mailing Address - Phone:914-458-8700
Mailing Address - Fax:914-666-1965
Practice Address - Street 1:480 BEDFORD RD
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-1702
Practice Address - Country:US
Practice Address - Phone:914-458-8700
Practice Address - Fax:914-666-1965
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-18
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5920000H207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty