Provider Demographics
NPI: | 1992255392 |
---|---|
Name: | WHITE PLAINS HOSPITAL MEDICAL CENTER |
Entity type: | Organization |
Organization Name: | WHITE PLAINS HOSPITAL MEDICAL CENTER |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | VP/MEDICAL DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MICHEAEL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | PALUMBO |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 914-681-2208 |
Mailing Address - Street 1: | 41 E POST RD |
Mailing Address - Street 2: | |
Mailing Address - City: | WHITE PLAINS |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 10601-4607 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 914-681-0600 |
Mailing Address - Fax: | 914-681-2839 |
Practice Address - Street 1: | 41 E POST RD |
Practice Address - Street 2: | |
Practice Address - City: | WHITE PLAINS |
Practice Address - State: | NY |
Practice Address - Zip Code: | 10601-4607 |
Practice Address - Country: | US |
Practice Address - Phone: | 914-681-0600 |
Practice Address - Fax: | 914-681-2839 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-10-10 |
Last Update Date: | 2016-10-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
103T00000X, 103TC1900X, 207V00000X, 207VM0101X, 207X00000X, 208000000X, 2080N0001X, 2084N0400X, 363A00000X, 363AM0700X, 363AS0400X, 363L00000X, 208M00000X | ||
NY | 5902001H | 282N00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | Group - Multi-Specialty | |
No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling | Group - Multi-Specialty |
No | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Group - Multi-Specialty | |
No | 207VM0101X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Maternal & Fetal Medicine | Group - Multi-Specialty |
No | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Multi-Specialty | |
No | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Multi-Specialty | |
No | 2080N0001X | Allopathic & Osteopathic Physicians | Pediatrics | Neonatal-Perinatal Medicine | Group - Multi-Specialty |
No | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | Group - Multi-Specialty |
No | 282N00000X | Hospitals | General Acute Care Hospital | Group - Multi-Specialty | |
No | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Group - Multi-Specialty | |
No | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical | Group - Multi-Specialty |
No | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical | Group - Multi-Specialty |
No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty |