Healthcare Provider Details

I. General information

NPI: 1003089491
Provider Name (Legal Business Name): WHITE PLAINS HOSPITAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 01/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DAVIS AVE AT E POST RD
WHITE PLAINS NY
10601-4615
US

IV. Provider business mailing address

DAVIS AVE AT E POST RD
WHITE PLAINS NY
10601-4615
US

V. Phone/Fax

Practice location:
  • Phone: 914-681-1026
  • Fax: 914-681-2901
Mailing address:
  • Phone: 914-681-1026
  • Fax: 914-681-2901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number5902001H
License Number StateNY

VIII. Authorized Official

Name: MR. JOHN SCIURBA
Title or Position: VP FINANCE/CFO
Credential:
Phone: 914-681-1024