Healthcare Provider Details

I. General information

NPI: 1275848152
Provider Name (Legal Business Name): NEW YORK HEALTH PROVIDERS, IPA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2010
Last Update Date: 08/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 WESTCHESTER AVE 4TH FLOOR
PURCHASE NY
10577-2540
US

IV. Provider business mailing address

2500 WESTCHESTER AVE 4TH FLOOR
PURCHASE NY
10577-2540
US

V. Phone/Fax

Practice location:
  • Phone: 914-250-0300
  • Fax: 914-251-0065
Mailing address:
  • Phone: 914-250-0300
  • Fax: 914-251-0065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD W KAPLAN
Title or Position: PRESIDENT,CEO
Credential:
Phone: 914-251-0300