Provider Demographics
NPI:1447253133
Name:MID-WESTCHESTER MEDICAL ASSOCIATES, L.L.P.
Entity type:Organization
Organization Name:MID-WESTCHESTER MEDICAL ASSOCIATES, L.L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-948-3630
Mailing Address - Street 1:33 DAVIS AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1030
Mailing Address - Country:US
Mailing Address - Phone:914-948-3630
Mailing Address - Fax:914-946-0926
Practice Address - Street 1:33 DAVIS AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1030
Practice Address - Country:US
Practice Address - Phone:914-948-3630
Practice Address - Fax:914-946-0926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
W6L941Medicare ID - Type Unspecified