Active NPI
Westchester Putnam Urology, LLP
- Urology Physician
- Cortlandt Manor, NY
National Provider Identifier
1194954339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- WESTCHESTER PUTNAM UROLOGY, LLP
- Practice address
- 1985 Crompond Rd
Cortlandt Manor, NY 10567-4146 - Phone
- (914) 739-1219
- Fax
- (914) 739-2353
- NPI assigned
- Jul 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Domingo CP Favale, M.D.
- Title
- Medical Director
- Phone
- (914) 739-1219
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
1985 Crompond Rd
Cortlandt Manor, NY 10567-4146
Mailing address
1985 Crompond Rd
Cortlandt Manor, NY 10567-4146
Phone (914) 739-1219
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247097600000",
"number": "1194954339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1985 CROMPOND RD",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105674146",
"telephone_number": "914-739-1219",
"fax_number": "914-739-2353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1985 CROMPOND RD",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105674146",
"telephone_number": "914-739-1219",
"fax_number": "914-739-2353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTCHESTER PUTNAM UROLOGY, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-09",
"last_updated": "2009-07-09",
"status": "A",
"authorized_official_last_name": "FAVALE",
"authorized_official_first_name": "DOMINGO",
"authorized_official_middle_name": "CP",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "914-739-1219",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cortlandt Manor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.