Provider Demographics
NPI:1124170659
Name:WESTCHESTER COUNTY
Entity type:Organization
Organization Name:WESTCHESTER COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:STAFF ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:DHANESH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDRASHEKHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-514-7996
Mailing Address - Street 1:145 HUGUENOT ST
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5200
Mailing Address - Country:US
Mailing Address - Phone:914-813-5026
Mailing Address - Fax:914-813-5044
Practice Address - Street 1:145 HUGUENOT ST
Practice Address - Street 2:8TH FLOOR
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5200
Practice Address - Country:US
Practice Address - Phone:914-813-5026
Practice Address - Fax:914-813-5044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYEI SRVS AUTH 4-26-01251K00000X
NY5904201R261QP0905X
252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251K00000XAgenciesPublic Health or Welfare
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00473074Medicaid
W85031Medicare ID - Type UnspecifiedPROVIDER IN NY STATE