Healthcare Provider Details

I. General information

NPI: 1912992215
Provider Name (Legal Business Name): NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E MAIN ST NORTHERN WESTCHESTER HOSPITAL
MOUNT KISCO NY
10549-3417
US

IV. Provider business mailing address

400 E MAIN ST NORTHERN WESTCHESTER HOSPITAL - ADMINISTRATION
MOUNT KISCO NY
10549-3417
US

V. Phone/Fax

Practice location:
  • Phone: 914-666-1200
  • Fax: 914-666-1055
Mailing address:
  • Phone: 914-666-1310
  • Fax: 914-666-1055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number6415020
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number5920000H
License Number StateNY

VIII. Authorized Official

Name: MRS. MICHELE LEE CUSACK
Title or Position: EXECUTIVE VICE PRESIDENT & CFO
Credential:
Phone: 516-321-6058