Provider Demographics
NPI:1275531790
Name:PTS OF WESTCHESTER INC
Entity Type:Organization
Organization Name:PTS OF WESTCHESTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MARX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-468-4747
Mailing Address - Street 1:7-11 SOUTH BROADWAY
Mailing Address - Street 2:SUITE 404
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4909
Mailing Address - Country:US
Mailing Address - Phone:914-949-5150
Mailing Address - Fax:914-949-5149
Practice Address - Street 1:7-11 S BROADWAY
Practice Address - Street 2:#404
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-3531
Practice Address - Country:US
Practice Address - Phone:914-949-5150
Practice Address - Fax:914-949-5149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY50902608251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01573862Medicaid
NY337405Medicare Oscar/Certification