Healthcare Provider Details

I. General information

NPI: 1225269871
Provider Name (Legal Business Name): WESTCHESTER CHAPTER NYSARC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2009
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 SAW MILL RIVER RD
HAWTHORNE NY
10532-1535
US

IV. Provider business mailing address

40 SAW MILL RIVER RD
HAWTHORNE NY
10532-1535
US

V. Phone/Fax

Practice location:
  • Phone: 914-347-3227
  • Fax: 914-347-4216
Mailing address:
  • Phone: 914-347-3227
  • Fax: 914-347-4216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. ANNMARIE SABRSULA
Title or Position: ASST EXECUTIVE DIRECTOR EDUCATION
Credential: MS
Phone: 914-347-3227