Healthcare Provider Details

I. General information

NPI: 1710929476
Provider Name (Legal Business Name): WESTCHESTER PODIATRIC MEDICINE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 WHITE PLAINS RD STE 308
SCARSDALE NY
10583-5039
US

IV. Provider business mailing address

700 WHITE PLAINS RD STE 308
SCARSDALE NY
10583-5039
US

V. Phone/Fax

Practice location:
  • Phone: 914-423-0600
  • Fax: 866-549-2795
Mailing address:
  • Phone: 914-423-0600
  • Fax: 866-549-2795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberNY003773
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN C MARZANO
Title or Position: OWNER
Credential:
Phone: 914-423-0600