MEDICARE: WESTCHESTER MEDICAL CARE, PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1316996176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTCHESTER MEDICAL CARE, PLLC

Provider Business Mailing Address
First Line	:	160 S CENTRAL AVE
Second Line	:
City	:	ELMSFORD
State	:	NY
Zip	:	10523-3509
Country	:	US
Telephone Number	:	914-345-3135
Fax Number	:	914-345-3169

Provider Business Practice Location Address
First Line	:	160 S CENTRAL AVE
Second Line	:
City	:	ELMSFORD
State	:	NY
Zip	:	10523-3509
Country	:	US
Telephone Number	:	914-345-3135
Fax Number	:	914-345-3169

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JEFFREY D ALTHOLZ
Credential	:	MD
Telephone Number	:	914-419-3158

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	09/17/2008

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