Provider Demographics
NPI:1992004477
Name:WESTCHESTER PSYCHIATRIC ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:WESTCHESTER PSYCHIATRIC ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:F
Authorized Official - Last Name:KANDALAFT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-522-2014
Mailing Address - Street 1:20 HOSPITAL RD
Mailing Address - Street 2:BEHAVIORAL HEALTH CENTER STE#N310
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1538
Mailing Address - Country:US
Mailing Address - Phone:914-493-7546
Mailing Address - Fax:914-493-1015
Practice Address - Street 1:20 HOSPITAL RD
Practice Address - Street 2:BEHAVIORAL HEALTH CENTER STE#N310
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1538
Practice Address - Country:US
Practice Address - Phone:914-493-7546
Practice Address - Fax:914-493-1015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-23
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2320482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty