Provider Demographics
NPI:1346381258
Name:WESTCHESTER PULMONARY & PRIMARY CARE PC
Entity Type:Organization
Organization Name:WESTCHESTER PULMONARY & PRIMARY CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HERSHENSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-937-6917
Mailing Address - Street 1:170 MAPLE AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4715
Mailing Address - Country:US
Mailing Address - Phone:914-937-6917
Mailing Address - Fax:
Practice Address - Street 1:170 MAPLE AVE STE 202
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4715
Practice Address - Country:US
Practice Address - Phone:914-937-6917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY273781Medicare ID - Type Unspecified