MEDICARE: WHITE PLAINS HOSPITAL CENTER

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	251E00000X	Home Health Agency	5902601	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000117	OTHER	NY	BLUE CROSS

General Provider Information

NPI Number	:	1457346025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHITE PLAINS HOSPITAL CENTER

Provider Business Mailing Address
First Line	:	41 E POST RD
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10601-4607
Country	:	US
Telephone Number	:	914-681-1087
Fax Number	:	914-681-1263

Provider Business Practice Location Address
First Line	:	90 S RIDGE ST
Second Line	:	SUITE LL10
City	:	RYE BROOK
State	:	NY
Zip	:	10573-2867
Country	:	US
Telephone Number	:	914-681-1087
Fax Number	:	914-681-1263

Authorized Official
Title or Position	:	ADMINISTRATOR/DPS
Name	:	MS. TERESA MOONEY
Credential	:
Telephone Number	:	914-681-1087

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	04/16/2008

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Directions to “WHITE PLAINS HOSPITAL CENTER ” Practice Location

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