Provider Demographics
NPI:1689795353
Name:PLANNED PARENTHOOD HUDSON PECONIC
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD HUDSON PECONIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, MEDICAID AND MANAGED CARE
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:O'HANLON
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:914-467-7331
Mailing Address - Street 1:4 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2147
Mailing Address - Country:US
Mailing Address - Phone:914-632-4442
Mailing Address - Fax:914-632-4629
Practice Address - Street 1:247 NORTH AVE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801
Practice Address - Country:US
Practice Address - Phone:914-632-4442
Practice Address - Fax:914-632-4625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF420165363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty