Provider Demographics
NPI:1578616975
Name:COUNTY OF WESTCHESTER
Entity Type:Organization
Organization Name:COUNTY OF WESTCHESTER
Other - Org Name:THE WESTCHESTER COUNTY DEPT OF HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DEPUTY COMMISSIONER FOR ADMIN.
Authorized Official - Prefix:MS
Authorized Official - First Name:ALYSE
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-813-5046
Mailing Address - Street 1:145 HUGUENOT ST
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5200
Mailing Address - Country:US
Mailing Address - Phone:914-813-5026
Mailing Address - Fax:914-813-5044
Practice Address - Street 1:145 HUGUENOT ST
Practice Address - Street 2:8TH FLOOR
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5200
Practice Address - Country:US
Practice Address - Phone:914-813-5026
Practice Address - Fax:914-813-5044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYEI SRVS AUTH 4-26-01251B00000X
NY5902600251E00000X
252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00321788Medicaid
337042Medicare ID - Type UnspecifiedPROVIDER IN NY STATE