Mount Kisco Medical Group Pc

LBN: Mount Kisco Medical Group Pc
Mount Kisco Medical Group Pc is an health care organization with primary practice located at 111 Bedford Rd , Katonah NY 10536. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Mount Kisco Medical Group Pc can be contacted via phone (914) 232-3135, or through Monaco, Susan via phone (914) 241-1050.

Contact Information

Primary practice address
111 Bedford Rd Katonah NY 10536
Phone: (914) 232-3135
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Monaco, Susan
Phone: (914) 241-1050

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1790904878
LBN Legal business name Mount Kisco Medical Group Pc
DBA Doing business as
Authorized official Monaco, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790904878 NPPES
New York MEDICAID 00547351

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