Healthcare Provider Details

I. General information

NPI: 1457658445
Provider Name (Legal Business Name): WHITE PLAINS HOSPITAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2011
Last Update Date: 12/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 NORTH ST SUITE 403
WHITE PLAINS NY
10605-2217
US

IV. Provider business mailing address

311 NORTH ST SUITE 403
WHITE PLAINS NY
10605-2217
US

V. Phone/Fax

Practice location:
  • Phone: 914-949-7171
  • Fax: 914-949-7719
Mailing address:
  • Phone: 914-949-7171
  • Fax: 914-949-7719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number183668
License Number StateNY

VIII. Authorized Official

Name: JOHN SCUIRBA
Title or Position: VP FINANCE
Credential:
Phone: 914-681-1210