Healthcare Provider Details

I. General information

NPI: 1417010802
Provider Name (Legal Business Name): DR. LAUREN BUDOW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 CROSS RIVER RD
KATONAH NY
10536-3549
US

IV. Provider business mailing address

800 CROSS RIVER RD
KATONAH NY
10536-3549
US

V. Phone/Fax

Practice location:
  • Phone: 914-763-8151
  • Fax: 914-763-2519
Mailing address:
  • Phone: 914-763-8151
  • Fax: 914-763-2519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number172131
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number172131
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: