Provider Demographics
NPI:1679641237
Name:NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
Entity Type:Organization
Organization Name:NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
Other - Org Name:EMERGENCY DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARTENZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-666-1310
Mailing Address - Street 1:400 EAST MAIN STREET
Mailing Address - Street 2:NORTHERN WESTCHESTER HOSPITAL MEDICAL AFFAIRS OFFICE
Mailing Address - City:MT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549
Mailing Address - Country:US
Mailing Address - Phone:914-242-8318
Mailing Address - Fax:914-666-1965
Practice Address - Street 1:400 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3417
Practice Address - Country:US
Practice Address - Phone:914-666-1254
Practice Address - Fax:914-666-1931
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-01
Last Update Date:2013-12-06
Deactivation Date:2007-03-27
Deactivation Code:
Reactivation Date:2008-05-21
Provider Licenses
StateLicense IDTaxonomies
NY5920000H207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW73781Medicare PIN