Healthcare Provider Details
I. General information
NPI: 1235750654
Provider Name (Legal Business Name): OCD AND ANXIETY PSYCHIATRY OF WESTCHESTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/27/2020
Last Update Date: 04/27/2020
Certification Date: 04/27/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7 SKYLINE DR STE 350
HAWTHORNE NY
10532-2162
US
IV. Provider business mailing address
33 BRIDLE PATH RD
OSSINING NY
10562-2012
US
V. Phone/Fax
- Phone: 732-407-9529
- Fax:
- Phone: 732-407-9529
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
PHILLIP
JOSEPH
SEIBELL
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 732-407-9529