Provider Demographics
NPI:1821699364
Name:2HEALTH FOUNDATION
Entity Type:Organization
Organization Name:2HEALTH FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINCOLN
Authorized Official - Middle Name:
Authorized Official - Last Name:PAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-238-1200
Mailing Address - Street 1:140 S BEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-3400
Mailing Address - Country:US
Mailing Address - Phone:914-238-1200
Mailing Address - Fax:914-238-2200
Practice Address - Street 1:140 S BEDFORD RD
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-3400
Practice Address - Country:US
Practice Address - Phone:914-238-1200
Practice Address - Fax:914-238-2200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty