Provider Demographics
NPI:1225395320
Name:WHITE PLAINS WALK-IN MEDICAL CARE PLLC
Entity Type:Organization
Organization Name:WHITE PLAINS WALK-IN MEDICAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:SHIKHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOYAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-260-9235
Mailing Address - Street 1:13 MOHAWK TRL
Mailing Address - Street 2:WHITE PLAINS WALK-IN MEDICAL CARE, PLLC
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-2908
Mailing Address - Country:US
Mailing Address - Phone:914-260-9235
Mailing Address - Fax:914-767-9200
Practice Address - Street 1:10 CHESTER AVE
Practice Address - Street 2:WHITE PLAINS WALK-IN MEDICAL CARE, PLLC
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-5112
Practice Address - Country:US
Practice Address - Phone:914-260-9235
Practice Address - Fax:914-767-9200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY203434207R00000X
261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty