Provider Demographics
NPI:1447576210
Name:WESTCHESTER HEALTH ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:WESTCHESTER HEALTH ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WHITNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-232-1919
Mailing Address - Street 1:60 GOLDENS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-3447
Mailing Address - Country:US
Mailing Address - Phone:914-232-3255
Mailing Address - Fax:914-232-3266
Practice Address - Street 1:356 ROUTE 202
Practice Address - Street 2:
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589-3222
Practice Address - Country:US
Practice Address - Phone:914-244-0244
Practice Address - Fax:914-244-0261
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WESTCHESTER HEALTH ASSOCIATES, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-19
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6067540004Medicare NSC