Healthcare Provider Details

I. General information

NPI: 1093699894
Provider Name (Legal Business Name): WESTCHESTER ORTHOPAEDIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 MAMARONECK AVE
WHITE PLAINS NY
10605-1700
US

IV. Provider business mailing address

360 MAMARONECK AVE
WHITE PLAINS NY
10605-1700
US

V. Phone/Fax

Practice location:
  • Phone: 914-682-9000
  • Fax:
Mailing address:
  • Phone: 914-682-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LOUIS C ROSE
Title or Position: CEO
Credential: M.D.
Phone: 718-409-0500