Healthcare Provider Details

I. General information

NPI: 1467401364
Provider Name (Legal Business Name): CARDIOLOGY CONSULTANTS OF WESTCHESTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 07/22/2008
Certification Date:
Deactivation Date: 01/30/2008
Reactivation Date: 03/03/2008

III. Provider practice location address

854 ROUTE 212
SAUGERTIES NY
12477
US

IV. Provider business mailing address

PO BOX 5801
NEW YORK NY
10087-5801
US

V. Phone/Fax

Practice location:
  • Phone: 845-339-8700
  • Fax: 914-593-7881
Mailing address:
  • Phone: 914-593-7800
  • Fax: 914-593-7881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

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