1225395320 NPI number — WHITE PLAINS WALK-IN MEDICAL CARE PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225395320 NPI number — WHITE PLAINS WALK-IN MEDICAL CARE PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WHITE PLAINS WALK-IN MEDICAL CARE PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225395320
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/31/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13 MOHAWK TRL
Provider Second Line Business Mailing Address:
WHITE PLAINS WALK-IN MEDICAL CARE, PLLC
Provider Business Mailing Address City Name:
KATONAH
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10536-2908
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-260-9235
Provider Business Mailing Address Fax Number:
914-767-9200

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10 CHESTER AVE
Provider Second Line Business Practice Location Address:
WHITE PLAINS WALK-IN MEDICAL CARE, PLLC
Provider Business Practice Location Address City Name:
WHITE PLAINS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10601-5112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-260-9235
Provider Business Practice Location Address Fax Number:
914-767-9200
Provider Enumeration Date:
04/13/2012

Additional Information

Authorized Official

Authorized Official Last Name:
GOYAL
Authorized Official First Name:
SHIKHA
Authorized Official Middle Name:
Authorized Official Title or Position:
PROPRIETOR
Authorized Official Telephone Number:
914-260-9235

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  203434 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QU0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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