Provider Demographics
NPI:1619957255
Name:WESTCHESTER-PUTNAM ALLERGY & ASTHMA CARE P.C.
Entity Type:Organization
Organization Name:WESTCHESTER-PUTNAM ALLERGY & ASTHMA CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL CORPORATION
Authorized Official - Prefix:DR
Authorized Official - First Name:VIDYA
Authorized Official - Middle Name:
Authorized Official - Last Name:NARASIMHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-241-0567
Mailing Address - Street 1:PO BOX 556
Mailing Address - Street 2:
Mailing Address - City:MILLWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:10546-0556
Mailing Address - Country:US
Mailing Address - Phone:914-241-0567
Mailing Address - Fax:
Practice Address - Street 1:341 ROUTE 312
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-2328
Practice Address - Country:US
Practice Address - Phone:845-278-0772
Practice Address - Fax:845-278-0794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-19
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198281174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01654640Medicaid
NY2041011OtherAETNA
NY2099739OtherGHI
NY037411OtherMVP
NY0D3240OtherHEALTHNET
NY95G551OtherBLUE CROSS
NY1427342OtherUHC
NYP406000OtherOXFORD
NYW87571Medicare PIN
NYP406000OtherOXFORD