Provider Demographics
NPI:1467682708
Name:WESTCHESTER MEDICAL CENTER
Entity Type:Organization
Organization Name:WESTCHESTER MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADULT NURSE PRACTITIONER/UROLOGY
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSEMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CONLIN
Authorized Official - Suffix:
Authorized Official - Credentials:ANP
Authorized Official - Phone:914-493-7684
Mailing Address - Street 1:4TH FL. MUNGER PAVILION
Mailing Address - Street 2:DEPT. OF UROLOGY
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595
Mailing Address - Country:US
Mailing Address - Phone:914-493-7684
Mailing Address - Fax:914-594-4394
Practice Address - Street 1:100 WOODS RD. WESTCHESTER MEDICAL CENTER
Practice Address - Street 2:DEPT. OF UROLOGY, 4TH FL. MUNGER PAVILLION,
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595
Practice Address - Country:US
Practice Address - Phone:914-493-7684
Practice Address - Fax:914-594-4394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-21
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY302935282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital