Healthcare Provider Details

I. General information

NPI: 1730400946
Provider Name (Legal Business Name): WESTCHESTER MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2010
Last Update Date: 06/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 GRASSLANDS RD BEHAVIORAL HEALTH CENTER
VALHALLA NY
10595-1652
US

IV. Provider business mailing address

95 GRASSLANDS RD BEHAVIORAL HEALTH CENTER
VALHALLA NY
10595-1652
US

V. Phone/Fax

Practice location:
  • Phone: 914-493-1948
  • Fax:
Mailing address:
  • Phone: 914-493-1948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. WENDY THOMPSON
Title or Position: PSYCHIATRY RESIDENCY PROGRAM DIRECT
Credential: M.D.
Phone: 914-493-1939