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General NPI Number Information
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NPI Number | 1790560878
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Entity Type | Organization
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Legal Business Name | THE WESTCHESTER MEDICAL GROUP PC
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 644 W PUTNAM AVE
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City | GREENWICH
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State | CT
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Zip | 06830-6088
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Country | US
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Telephone | 203-210-2810
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Fax | 203-210-2811
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Provider Business Mailing Address
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Address Line | 800 WESTCHESTER AVE STE N715
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City | RYE BROOK
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State | NY
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Zip | 10573-1369
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Country | US
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Telephone | 914-607-5730
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Fax | 914-457-1195
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Authorized Official
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Title or Position | DIRECTOR OF PROVIDER ENROLLMENT
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Name | SWAHILI HENRY
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Credential |
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Telephone | 212-913-0828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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