Provider Demographics
NPI:1760657233
Name:WESTCHESTER COUNTY HEALTH CARE CORPORATION
Entity Type:Organization
Organization Name:WESTCHESTER COUNTY HEALTH CARE CORPORATION
Other - Org Name:WESTCHESTER MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR V.P.,FINANCIAL PLANNING
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FERSKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-493-2803
Mailing Address - Street 1:95 GRASSLANDS RD
Mailing Address - Street 2:BLDG TCC RM M202
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1646
Mailing Address - Country:US
Mailing Address - Phone:914-493-2803
Mailing Address - Fax:914-493-2948
Practice Address - Street 1:95 GRASSLANDS RD
Practice Address - Street 2:BLDG TCC RM M202
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1646
Practice Address - Country:US
Practice Address - Phone:914-493-2803
Practice Address - Fax:914-493-2948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5957001H261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY332353Medicare Oscar/Certification