Provider Demographics
NPI:1982851614
Name:WESTCHESTER DISABLED ON THE MOVE INC
Entity Type:Organization
Organization Name:WESTCHESTER DISABLED ON THE MOVE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MELVYN
Authorized Official - Middle Name:R
Authorized Official - Last Name:TANZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:914-968-4717
Mailing Address - Street 1:984 N BROADWAY
Mailing Address - Street 2:SUITE L01
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1318
Mailing Address - Country:US
Mailing Address - Phone:914-968-4717
Mailing Address - Fax:914-968-6137
Practice Address - Street 1:984 N BROADWAY
Practice Address - Street 2:SUITE L01
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1318
Practice Address - Country:US
Practice Address - Phone:914-968-4717
Practice Address - Fax:914-968-6137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No251X00000XAgenciesSupports Brokerage