Healthcare Provider Details

I. General information

NPI: 1487735072
Provider Name (Legal Business Name): WESTCHESTER COUNTY HEALTH CARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 BRADHURST AVE TCC ADMINISTRATION
HAWTHORNE NY
10532-2115
US

IV. Provider business mailing address

25 BRADHURST AVE TCC ADMINISTRATION
HAWTHORNE NY
10532-2115
US

V. Phone/Fax

Practice location:
  • Phone: 914-493-5244
  • Fax: 914-493-1254
Mailing address:
  • Phone: 914-493-5244
  • Fax: 914-493-1254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number5957301N
License Number StateNY

VIII. Authorized Official

Name: MR. MARK FERSKO
Title or Position: VP OF FINANCIAL PLANNING
Credential:
Phone: 914-493-2803