Healthcare Provider Details

I. General information

NPI: 1124170659
Provider Name (Legal Business Name): WESTCHESTER COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 MARTINE AVE FL 12
WHITE PLAINS NY
10606-4025
US

IV. Provider business mailing address

11 MARTINE AVE FL 12
WHITE PLAINS NY
10606-4025
US

V. Phone/Fax

Practice location:
  • Phone: 914-813-5026
  • Fax: 914-813-5044
Mailing address:
  • Phone: 914-813-5026
  • Fax: 914-813-5044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberEI SRVS AUTH 4-26-01
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number5904201R
License Number StateNY

VIII. Authorized Official

Name: MR. DHANESH CHANDRASHEKHAR
Title or Position: STAFF ASSISTANT
Credential:
Phone: 914-514-7996