Provider Demographics
NPI:1902917081
Name:WHITE PLAINS PERINATOLOGY
Entity Type:Organization
Organization Name:WHITE PLAINS PERINATOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:B
Authorized Official - Last Name:LESCALE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-681-2164
Mailing Address - Street 1:DAVIS AVE AT E POST RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4615
Mailing Address - Country:US
Mailing Address - Phone:914-681-2164
Mailing Address - Fax:
Practice Address - Street 1:DAVIS AVE AT E POST RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4615
Practice Address - Country:US
Practice Address - Phone:914-681-2164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY186070207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0099U1OtherBCBS
186070OtherCONNECTICARE
6430626OtherCIGNA
NYKL00099U10OtherBCBS
0296639OtherGHI PPO
3953257OtherAETNA HMO
92885OtherGHI HMO
5295647OtherAETNA PPO
404545002OtherHEALTH NOW
300129OtherWELLCARE
382328OtherMVP
3953257OtherAETNA HMO
NY0099U1OtherBCBS