Wertheim, Iris

Wertheim, Iris is an individual health care provider with primary practice located at 400 E Main St Caremount Medical, Pc, Mount Kisco NY 10549-3417. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Wertheim, Iris can be contacted via phone (914) 241-1050.

Contact Information

Primary practice address
400 E Main St Caremount Medical, Pc Mount Kisco NY 10549-3417
Fax: (914) 666-2513
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 039006 Connecticut
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 202735-1 New York

Profile Details

NPI number 1417938192
LBN Legal business name Wertheim, Iris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Sep 9th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417938192 NPPES
New York Other 010202735NY03 BLUE CROSS BLUE SHIELD
New York Other 50U06GW701 BLUE CROSS BLUE SHIELD
New York Other P00299044 BLUE CROSS BLUE SHIELD
New York Other A400071866 BLUE CROSS BLUE SHIELD
New York MEDICAID 01685987 BLUE CROSS BLUE SHIELD

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