Healthcare Provider Details

I. General information

NPI: 1992022339
Provider Name (Legal Business Name): CARDIOLOGY CONSULTANTS OF WESTCHESTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2010
Last Update Date: 04/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

352 E 119TH ST
NEW YORK NY
10035-4243
US

IV. Provider business mailing address

PO BOX 5801
NEW YORK NY
10087-5801
US

V. Phone/Fax

Practice location:
  • Phone: 914-725-2010
  • Fax: 914-593-7881
Mailing address:
  • Phone: 914-593-7880
  • Fax: 914-593-7881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberN002361
License Number StateNY

VIII. Authorized Official

Name: DR. RICHARD KAY
Title or Position: VICE-PRESIDENT
Credential: MD
Phone: 914-593-7800