Provider Demographics
NPI:1942323837
Name:WESTCHESTER ALLERGY, ASTHMA AND IMMUNOLOGY, P.C.
Entity Type:Organization
Organization Name:WESTCHESTER ALLERGY, ASTHMA AND IMMUNOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:FEDOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-337-2727
Mailing Address - Street 1:2150 CENTRAL PARK AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-1853
Mailing Address - Country:US
Mailing Address - Phone:914-337-2727
Mailing Address - Fax:
Practice Address - Street 1:2150 CENTRAL PARK AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-1853
Practice Address - Country:US
Practice Address - Phone:914-337-2727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-08
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY232091207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY182930POtherCMO HIP
NY0135160OtherGHI
NYOH3566OtherHEALTHNET
NYP3501546OtherOXFORD
NY2478982OtherUNITED HEALTHCARE
NY6N0511OtherEMPIRE BC BS
NY2292741OtherCIGNA
NY2478982OtherUNITED HEALTHCARE
NYP3501546OtherOXFORD