Healthcare Provider Details

I. General information

NPI: 1225395320
Provider Name (Legal Business Name): WHITE PLAINS WALK-IN MEDICAL CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2012
Last Update Date: 03/31/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CHESTER AVE WHITE PLAINS WALK-IN MEDICAL CARE, PLLC
WHITE PLAINS NY
10601-5112
US

IV. Provider business mailing address

13 MOHAWK TRL WHITE PLAINS WALK-IN MEDICAL CARE, PLLC
KATONAH NY
10536-2908
US

V. Phone/Fax

Practice location:
  • Phone: 914-260-9235
  • Fax: 914-767-9200
Mailing address:
  • Phone: 914-260-9235
  • Fax: 914-767-9200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number203434
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHIKHA GOYAL
Title or Position: PROPRIETOR
Credential: M.D.
Phone: 914-260-9235