Provider Demographics
NPI:1689207425
Name:WESTCHESTER INDEPENDENT LIVING CENTER
Entity Type:Organization
Organization Name:WESTCHESTER INDEPENDENT LIVING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:NUNZIATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-228-7457
Mailing Address - Street 1:10 COUNTY CENTER RD FL 2
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10607-1541
Mailing Address - Country:US
Mailing Address - Phone:914-682-3926
Mailing Address - Fax:914-682-8518
Practice Address - Street 1:1441 ROUTE 22 STE 204
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-4358
Practice Address - Country:US
Practice Address - Phone:845-228-7457
Practice Address - Fax:845-228-7460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-20
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)