Provider Demographics
NPI:1598203911
Name:WESTCHESTER HEALTH MEDICAL, P.C.
Entity Type:Organization
Organization Name:WESTCHESTER HEALTH MEDICAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT & CFO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-321-6025
Mailing Address - Street 1:185 KISCO AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-1409
Mailing Address - Country:US
Mailing Address - Phone:914-666-4939
Mailing Address - Fax:914-242-7209
Practice Address - Street 1:185 KISCO AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-1409
Practice Address - Country:US
Practice Address - Phone:914-666-4939
Practice Address - Fax:914-242-7209
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHERN WESTCHESTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies