Organization
PHELPS MEMORIAL HOSPITAL ASSOCIATION
Active
Other names
Phelps Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE LEE CUSACK (SENIOR VICE PRESIDENT & CFO)
(516) 321-6058
Entity
Organization
Contact information
Practice address
701 N BROADWAY, SLEEPY HOLLOW, NY 10591-1020
(914) 366-3000
(914) 366-1522
Mailing address
701 N BROADWAY, SLEEPY HOLLOW, NY 10591-1020
(914) 366-3000
(914) 366-1522
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
273R00000X
Psychiatric Hospital Unit
—
—
273Y00000X
Rehabilitation Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00274162
—
NY
Enumeration date
09/19/2006
Last updated
07/31/2025
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