MEDICARE: RADIOLOGY OF WESTCHESTER PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085D0003X	Diagnostic Neuroimaging (Radiology) Physician	168512	NY
2	2085R0202X	Diagnostic Radiology Physician	168512	NY

General Provider Information

NPI Number	:	1083911937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIOLOGY OF WESTCHESTER PC

Provider Business Mailing Address
First Line	:	933 SAW MILL RIVER RD
Second Line	:
City	:	ARDSLEY
State	:	NY
Zip	:	10502-1106
Country	:	US
Telephone Number	:	718-743-7090
Fax Number	:

Provider Business Practice Location Address
First Line	:	933 SAW MILL RIVER RD
Second Line	:
City	:	ARDSLEY
State	:	NY
Zip	:	10502-1106
Country	:	US
Telephone Number	:	718-743-7090
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	MARK ARMSTRONG
Credential	:	MD
Telephone Number	:	718-743-7090

Provider Enumeration Date	:	02/11/2011
Last Update Date	:	02/11/2011

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