MEDICARE: FAMILY SERVICES OF WESTCHESTER

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	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1437597333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY SERVICES OF WESTCHESTER

Provider Business Mailing Address
First Line	:	95 RADIO CIRCLE DR
Second Line	:
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-2611
Country	:	US
Telephone Number	:	914-241-0770
Fax Number	:	914-242-5201

Provider Business Practice Location Address
First Line	:	95 RADIO CIRCLE DR
Second Line	:
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-2611
Country	:	US
Telephone Number	:	914-241-0770
Fax Number	:	914-242-5201

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	SUSAN B WAYNE
Credential	:	LCSW
Telephone Number	:	914-937-2320

Provider Enumeration Date	:	06/13/2013
Last Update Date	:	06/13/2013

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Directions to “FAMILY SERVICES OF WESTCHESTER ” Practice Location

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