Healthcare Provider Details

I. General information

NPI: 1588651079
Provider Name (Legal Business Name): BOSTON CHILDRENS HEALTH PHYSICIANS LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 N BROADWAY STE 400
SLEEPY HOLLOW NY
10591
US

IV. Provider business mailing address

40 SUNSHINE COTTAGE RD # 1N-C08
VALHALLA NY
10595-1524
US

V. Phone/Fax

Practice location:
  • Phone: 914-366-3400
  • Fax:
Mailing address:
  • Phone: 914-593-1659
  • Fax: 914-593-1790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateNY

VIII. Authorized Official

Name: DR. LEONARD NEWMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 914-594-4280