Provider Demographics
NPI:1841377249
Name:HEATHCOTE MEDICAL ASSOCIATES, P.C.
Entity type:Organization
Organization Name:HEATHCOTE MEDICAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:B
Authorized Official - Last Name:FATH
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:914-723-5566
Mailing Address - Street 1:50 POPHAM RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-4253
Mailing Address - Country:US
Mailing Address - Phone:914-723-5566
Mailing Address - Fax:914-723-5683
Practice Address - Street 1:50 POPHAM RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-4253
Practice Address - Country:US
Practice Address - Phone:914-723-5566
Practice Address - Fax:914-723-5683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Not Answered207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWJ5981Medicare ID - Type Unspecified