Provider Demographics
NPI:1992003768
Name:PUTNAM WESTCHESTER SURGICAL ASSOCIATES
Entity Type:Organization
Organization Name:PUTNAM WESTCHESTER SURGICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:MCDONNELL
Authorized Official - Last Name:CATHCART
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-582-0911
Mailing Address - Street 1:672 STONELEIGH AVE
Mailing Address - Street 2:SUITE C-116
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-4634
Mailing Address - Country:US
Mailing Address - Phone:845-582-0911
Mailing Address - Fax:845-582-0922
Practice Address - Street 1:672 STONELEIGH AVE
Practice Address - Street 2:SUITE C-116
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-4634
Practice Address - Country:US
Practice Address - Phone:845-582-0919
Practice Address - Fax:845-582-0922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY137996174400000X
NY228725174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty