Provider Demographics
NPI:1124070800
Name:VALHALLA ANESTHESIA ASSOCIATES, PC
Entity type:Organization
Organization Name:VALHALLA ANESTHESIA ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RAJENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PITHADIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-347-0380
Mailing Address - Street 1:WESTCHESTER MEDICAL CENTER, MACY PAVILION 2ND FL
Mailing Address - Street 2:95 GRASSLANDS RD
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595
Mailing Address - Country:US
Mailing Address - Phone:914-493-7692
Mailing Address - Fax:914-493-7927
Practice Address - Street 1:WESTCHESTER MEDICAL CENTER, MACY PAVILION 2ND FL
Practice Address - Street 2:95 GRASSLANDS RD
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595
Practice Address - Country:US
Practice Address - Phone:914-493-7692
Practice Address - Fax:914-493-7927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01206606Medicaid
NY01206606Medicaid