Healthcare Provider Details
I. General information
NPI: 1467389049
Provider Name (Legal Business Name): COMMUNITY PHYSICIANS OF WESTCHESTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
550 MAMARONECK AVE
HARRISON NY
10528-1634
US
IV. Provider business mailing address
550 MAMARONECK AVE
HARRISON NY
10528-1634
US
V. Phone/Fax
- Phone: 914-886-7286
- Fax:
- Phone: 914-886-7286
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
JESSICA
SANCHEZ
Title or Position: ADMIN
Credential:
Phone: 914-886-7286