Provider Demographics
NPI:1124678487
Name:WESTCHESTER PEDIATRIC NEUROLOGY
Entity type:Organization
Organization Name:WESTCHESTER PEDIATRIC NEUROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LILIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CANTOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-560-0005
Mailing Address - Street 1:75 KENNARD RD
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-4121
Mailing Address - Country:US
Mailing Address - Phone:914-329-0478
Mailing Address - Fax:
Practice Address - Street 1:297 KNOLLWOOD RD STE 333
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607-1838
Practice Address - Country:US
Practice Address - Phone:914-560-0005
Practice Address - Fax:914-600-3009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-18
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyGroup - Single Specialty