Provider Demographics
NPI:1891949665
Name:CARDIOLOGY CONSULTANTS OF WESTCHESTER, PC
Entity Type:Organization
Organization Name:CARDIOLOGY CONSULTANTS OF WESTCHESTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
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:914-593-7880
Mailing Address - Fax:914-593-7881
Practice Address - Street 1:5 COATES DR
Practice Address - Street 2:SUITE 2
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-6746
Practice Address - Country:US
Practice Address - Phone:845-294-1234
Practice Address - Fax:914-593-7881
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARDIOLOGY CONSULTANTS OF WESTCHESTER, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-06
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY232945207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00506318Medicaid
NYA100000178OtherMEDICARE PTAN