Organization
PHELPS MEDICAL SERVICES, PC
Active
Parent organization
PHELPS MEMORIAL HOSPITAL ASSOCIATION
Other names
Phelps Medical Associates, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHELPS MEMORIAL HOSPITAL ASSOCIATION
Authorized official
DR. LAWRENCE L FALTZ M.D. (SHAREHOLDER, DIRECTOR, OFFICER)
(914) 366-1000
Entity
Organization
Contact information
Practice address
701 N BROADWAY, PHELP MEDICAL ASSOCIATES, SLEEPY HOLLOW, NY 10591-1020
(914) 366-1000
Mailing address
155 WHITE PLAINS RD, SUITE 210A PHELPS PROFESSIONAL BILLING, TARRYTOWN, NY 10591-5523
(914) 269-1762
(914) 524-7985
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
02/03/2010
Last updated
07/10/2013
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