Westchester Medical Center Advanced Physician Services, Pc

Surgery

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Westchester Medical Center Advanced Physician Services, Pc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:14 PM.

Profile Details

Provider ID
1912131392
Provider Type
Organization
Full Name
Westchester Medical Center Advanced Physician Services, Pc

Subpart
No
Enumeration Date
5/13/2009
Last Updated
8/20/2024

Contact Information

Practice Location

100 Woods Rd, Valhalla, NY 10595-0000

(914) 909-9018

(914) 909-9028

Mailing Location

19 Bradhurst Avenue, Suite 3100n, Hawthorne, NY 10532-0000

(914) 909-9018

(914) 909-9028

Authorized Official

Harris, Paul (Vp, Finance)

(914) 909-9018

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207VX0201X	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207W00000X	Description Ophthalmology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207ZC0006X	Description Pathology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2085B0100X	Description Radiology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2085D0003X	Description Radiology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 208100000X	Description Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2085N0700X	Description Radiology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2085N0904X	Description Radiology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2085R0204X	Description Radiology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2085U0001X	Description Radiology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 103T00000X	Description Psychologist Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 207L00000X	Description Anesthesiology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207V00000X	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207VM0101X	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 03167791	Description Medicaid	Issuer Unlisted New York

Westchester Medical Center Advanced Physician Services, Pc

PECOS Enrollment

Profile Details

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