Provider Demographics
NPI:1164624748
Name:NEW YORK MEDICAL COLLEGE
Entity Type:Organization
Organization Name:NEW YORK MEDICAL COLLEGE
Other - Org Name:WESTCHESTER MEDICAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PROFESSOR, DIRECTOR, RENAL RES INST
Authorized Official - Prefix:PROF
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:SOLOMON
Authorized Official - Last Name:GOLIGORSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:914-594-4730
Mailing Address - Street 1:15 DANA RD
Mailing Address - Street 2:BASIC SCIENCES BUILDING, ROOM C21
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1554
Mailing Address - Country:US
Mailing Address - Phone:914-594-4730
Mailing Address - Fax:914-594-4732
Practice Address - Street 1:15 DANA ROAD
Practice Address - Street 2:BASIC SCIENCES BLDG ROOM C21
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1646
Practice Address - Country:US
Practice Address - Phone:914-594-4730
Practice Address - Fax:914-594-4732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY17642811744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744R1102XOther Service ProvidersSpecialistResearch StudyGroup - Single Specialty