Provider Demographics
NPI:1386714228
Name:WIHD INC
Entity type:Organization
Organization Name:WIHD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:V.P. OF FINANCE & ADMINISTRATION
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:VENTRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-493-8208
Mailing Address - Street 1:20 HOSPITAL OVAL WEST
Mailing Address - Street 2:BUSINESS OFFICE- ROOM #322
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1571
Mailing Address - Country:US
Mailing Address - Phone:914-493-1876
Mailing Address - Fax:914-493-1973
Practice Address - Street 1:20 HOSPITAL OVAL W
Practice Address - Street 2:BUSINESS OFFICE- ROOM #322
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1571
Practice Address - Country:US
Practice Address - Phone:914-493-1876
Practice Address - Fax:914-493-1973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5957204R261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02644484Medicaid
NY02995480Medicaid
NYWEX291Medicare UPIN
NY02995480Medicaid