Provider Demographics
NPI:1760455026
Name:CARDIOLOGY CONSULTANTS OF WESTCHESTER
Entity Type:Organization
Organization Name:CARDIOLOGY CONSULTANTS OF WESTCHESTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-593-7800
Mailing Address - Street 1:PO BOX 5801
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-5801
Mailing Address - Country:US
Mailing Address - Phone:914-593-7800
Mailing Address - Fax:914-593-7881
Practice Address - Street 1:83 SOUTH BEDFORD ROAD
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549
Practice Address - Country:US
Practice Address - Phone:914-593-7800
Practice Address - Fax:914-593-7881
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARDIOLOGY CONSULTANTS OF WESTCHESTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-02-08
Last Update Date:2008-07-22
Deactivation Date:2008-01-30
Deactivation Code:
Reactivation Date:2008-03-03
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW3K221Medicare PIN