Provider Demographics
NPI:1790848257
Name:WESTCHESTER COUNTY HEALTH CARE CORPORATION
Entity Type:Organization
Organization Name:WESTCHESTER COUNTY HEALTH CARE CORPORATION
Other - Org Name:TAYLOR CARE CENTER AT WESTCHESTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF FINANCIAL PLANNING
Authorized Official - Prefix:
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 1:25 BRADHURST AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2115
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:25 BRADHURST AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2115
Practice Address - Country:US
Practice Address - Phone:914-493-7862
Practice Address - Fax:914-493-5334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0157463336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY595730Medicaid
3363051OtherOTHER ID NUMBER-COMMERCIAL NUMBER
NY595730Medicaid