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General NPI Number Information
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NPI Number | 1194390146
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Entity Type | Organization
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Legal Business Name | WESTCHESTER MYOFUNCTIONAL SPECIALTIES
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Dates
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Enumeration Date | 05/21/2021
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Last Update Date | 05/21/2021
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Provider Practice Location Address
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Address Line | 774 WHITE PLAINS RD STE 250
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City | SCARSDALE
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State | NY
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Zip | 10583-5030
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Country | US
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Telephone | 914-348-3486
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Fax |
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Provider Business Mailing Address
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Address Line | 774 WHITE PLAINS RD STE 250
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City | SCARSDALE
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State | NY
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Zip | 10583-5030
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Country | US
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Telephone | 914-348-3486
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Fax |
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Authorized Official
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Title or Position | MYOFUNCTIONAL THERAPIST
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Name | MRS. HETAL SUTARIA
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Credential |
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Telephone | 914-439-7837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 125K00000X
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Taxonomy Name | Advanced Practice Dental Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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