Provider Demographics
NPI:1487735072
Name:WESTCHESTER COUNTY HEALTH CARE CORPORATION
Entity type:Organization
Organization Name:WESTCHESTER COUNTY HEALTH CARE CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCIAL PLANNING
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FERSKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-493-2803
Mailing Address - Street 1:25 BRADHURST AVE
Mailing Address - Street 2:TCC ADMINISTRATION
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2115
Mailing Address - Country:US
Mailing Address - Phone:914-493-5244
Mailing Address - Fax:914-493-1254
Practice Address - Street 1:25 BRADHURST AVE
Practice Address - Street 2:TCC ADMINISTRATION
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2115
Practice Address - Country:US
Practice Address - Phone:914-493-5244
Practice Address - Fax:914-493-1254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5957301N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY007903OtherBLUE CROSS
NY00310063Medicaid
NY007903OtherBLUE CROSS
NYWEJ881Medicare ID - Type UnspecifiedPHYSICIAN BILLING GROUP