Healthcare Provider Details

I. General information

NPI: 1619957255
Provider Name (Legal Business Name): WESTCHESTER-PUTNAM ALLERGY & ASTHMA CARE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 07/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 ROUTE 312
BREWSTER NY
10509-2328
US

IV. Provider business mailing address

PO BOX 556
MILLWOOD NY
10546-0556
US

V. Phone/Fax

Practice location:
  • Phone: 845-278-0772
  • Fax: 845-278-0794
Mailing address:
  • Phone: 914-241-0567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number198281
License Number StateNY

VIII. Authorized Official

Name: DR. VIDYA NARASIMHAN
Title or Position: PROFESSIONAL CORPORATION
Credential: M.D.
Phone: 914-241-0567