Healthcare Provider Details

I. General information

NPI: 1184159188
Provider Name (Legal Business Name): HSS WESTCHESTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2017
Last Update Date: 01/23/2023
Certification Date: 01/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1133 WESTCHESTER AVE
WHITE PLAINS NY
10604-3516
US

IV. Provider business mailing address

535 E 70TH ST ATTN CHARMAINE MCHAYLE
NEW YORK NY
10021-4823
US

V. Phone/Fax

Practice location:
  • Phone: 914-821-9100
  • Fax:
Mailing address:
  • Phone: 914-821-9100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STACEY MALAKOFF
Title or Position: EXECUTIVE V.P. & CFO
Credential:
Phone: 212-606-1239