Healthcare Provider Details

I. General information

NPI: 1538606363
Provider Name (Legal Business Name): WESTCHESTER HEALTH MEDICAL P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2017
Last Update Date: 01/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 COLUMBUS AVE
VALHALLA NY
10595-1336
US

IV. Provider business mailing address

465 COLUMBUS AVE
VALHALLA NY
10595-1336
US

V. Phone/Fax

Practice location:
  • Phone: 914-769-1600
  • Fax: 914-769-1610
Mailing address:
  • Phone: 914-769-1600
  • Fax: 914-769-1610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNY

VIII. Authorized Official

Name: ROBERT S SHAPIRO
Title or Position: EXECUTIVE VICE PRESIDENT & CFO
Credential:
Phone: 516-321-6025