Provider Demographics
NPI:1720416951
Name:WESTCHESTER MEDICAL CENTER
Entity Type:Organization
Organization Name:WESTCHESTER MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:A
Authorized Official - Last Name:RICART HOFFIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MS
Authorized Official - Phone:347-944-4364
Mailing Address - Street 1:100 WOODS RD
Mailing Address - Street 2:BEECHWOOD HALL PMB-484
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1530
Mailing Address - Country:US
Mailing Address - Phone:347-944-4364
Mailing Address - Fax:
Practice Address - Street 1:100 WOODS RD
Practice Address - Street 2:DEPT OF ORTHOPEDIC SURGERY MACY PAVILION SUITE 008
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1530
Practice Address - Country:US
Practice Address - Phone:914-493-8743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-25
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty