MEDICARE: WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283X00000X	Rehabilitation Hospital
2	283X00000X	Rehabilitation Hospital	1046	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194793190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL

Provider Business Mailing Address
First Line	:	785 MAMARONECK AVE
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-2523
Country	:	US
Telephone Number	:	914-597-2232
Fax Number	:	914-597-2787

Provider Business Practice Location Address
First Line	:	785 MAMARONECK AVE
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-2523
Country	:	US
Telephone Number	:	914-597-2500
Fax Number	:	914-597-2760

Authorized Official
Title or Position	:	SENIOR VP/CFO
Name	:	SCOTT A EDELMAN
Credential	:
Telephone Number	:	914-597-2277

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	11/11/2019

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