Healthcare Provider Details

I. General information

NPI: 1851756084
Provider Name (Legal Business Name): WHITE PLAINS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2015
Last Update Date: 12/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 WHITE PLAINS RD APT 1
EASTCHESTER NY
10709-2809
US

IV. Provider business mailing address

41 E POST RD
WHITE PLAINS NY
10601-4607
US

V. Phone/Fax

Practice location:
  • Phone: 813-638-5281
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number340153
License Number StateNY

VIII. Authorized Official

Name: JENNY KIM
Title or Position: NURSE PRACTITIONER
Credential:
Phone: 914-681-0600