Healthcare Provider Details

I. General information

NPI: 1376840710
Provider Name (Legal Business Name): NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2011
Last Update Date: 10/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

400 E MAIN ST
MOUNT KISCO NY
10549-3417
US

V. Phone/Fax

Practice location:
  • Phone: 914-242-8318
  • Fax: 914-666-1965
Mailing address:
  • Phone: 914-242-8318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN PARTENZA
Title or Position: SR. V.P. AND C.F.O.
Credential:
Phone: 914-666-1310