Healthcare Provider Details

I. General information

NPI: 1831758291
Provider Name (Legal Business Name): ROYAL CARE OF WESTCHESTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2019
Last Update Date: 10/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 WAVERLY ST
YONKERS NY
10701-3903
US

IV. Provider business mailing address

77 KNOLLWOOD RD
WHITE PLAINS NY
10607-1818
US

V. Phone/Fax

Practice location:
  • Phone: 914-468-6420
  • Fax:
Mailing address:
  • Phone: 914-468-6420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAGDISH MITTER
Title or Position: OWNER
Credential:
Phone: 914-468-6420