Healthcare Provider Details

I. General information

NPI: 1366472243
Provider Name (Legal Business Name): WESTCHESTER ANESTHESIOLOGISTS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 11/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 WESTCHESTER AVENUE N-511
RYE BROOK NY
10573
US

IV. Provider business mailing address

1500 CONCORD TERRACE 5TH FLOOR ATTN: MARIA GABBAI
SUNRISE FL
33323-2815
US

V. Phone/Fax

Practice location:
  • Phone: 914-428-5454
  • Fax: 914-253-6900
Mailing address:
  • Phone: 800-243-3839
  • Fax: 844-636-1410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateNY

VIII. Authorized Official

Name: DR. ERIC W MASON
Title or Position: PRESIDENT
Credential: M.D
Phone: 800-243-3839