Healthcare Provider Details

I. General information

NPI: 1114228509
Provider Name (Legal Business Name): CARDIOLOGY CONSULTANTS OF WESTCHESTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2010
Last Update Date: 11/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 STONELEIGH AVE SUITE C118
CARMEL NY
10512-3997
US

IV. Provider business mailing address

PO BOX 5801
NEW YORK NY
10087-5801
US

V. Phone/Fax

Practice location:
  • Phone: 845-278-9670
  • Fax: 914-593-7881
Mailing address:
  • Phone: 914-593-7880
  • Fax: 914-593-7881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number185652
License Number StateNY

VIII. Authorized Official

Name: DR. RICHARD KAY
Title or Position: VICE PRESIDENT
Credential: MD
Phone: 914-593-7800