MEDICARE: CARDIOLOGY CONSULTANTS OF WESTCHESTER, PC

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	207RC0000X	Cardiovascular Disease Physician	207897	NY

General Provider Information

NPI Number	:	1205091006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIOLOGY CONSULTANTS OF WESTCHESTER, PC

Provider Business Mailing Address
First Line	:	PO BOX 5801
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-5801
Country	:	US
Telephone Number	:	914-593-7880
Fax Number	:	914-593-7881

Provider Business Practice Location Address
First Line	:	110 CREEKS LOCK ROAD
Second Line	:
City	:	ROSENDALE
State	:	NY
Zip	:	12472
Country	:	US
Telephone Number	:	845-339-8700
Fax Number	:	914-593-7881

Authorized Official
Title or Position	:	VICE-PRESIDENT
Name	:	DR. RICHARD KAY
Credential	:	MD
Telephone Number	:	914-593-7800

Provider Enumeration Date	:	07/22/2008
Last Update Date	:	07/22/2008

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