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NPI Profile for MOUNT KISCO MEDICAL GROUP PC in MOUNT KISCO, NY.
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine | |
Advanced Practice Midwife |
367A00000X | 42 | Certified Nurse Midwife | |
Allergy |
207KA0200X | 03 | Physician/Allergy/ Immunology | |
Audiologist |
231H00000X | 64 | Audiologist | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Colon & Rectal Surgery |
208C00000X | 02 | Physician/General Surgery | |
Dermatology |
207N00000X | 07 | Physician/Dermatology | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Endocrinology, Diabetes & Metabolism |
207RE0101X | 11 | Physician/Internal Medicine | |
Foot and Ankle Surgery |
207XX0004X | 02 | Physician/General Surgery | |
Gastroenterology |
207RG0100X | 10 | Physician/Gastroenterology | |
Gynecology |
207VG0400X | 16 | Physician/Obstetrics & Gynecology | |
Hand Surgery |
207XS0106X | 02 | Physician/General Surgery | |
Hematology |
207RH0000X | 11 | Physician/Internal Medicine | |
Surgery |
208600000X | 02 | Physician/General Surgery |
| NPI Number | 1104863836 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/01/2006 | |
| Last updated | 09/11/2025 - About 9 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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MOUNT KISCO MEDICAL GROUP PC
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| RICHARD E PERESS, MD 100 SO HIGHLAND AVE OSSINING, NY |
| JACK L BRENNER, MD 1974 MAPLE HILL STREET YORKTOWN HEIGHTS, NY |
| CONVENIENT CARE MEDICAL 48 RTE 6 & MAHOPAC AVE YORKTOWN HEIGHTS, NY |
| JANIS A PASTENA, MD 100 WOODS ROAD VALHALLA, NY |
| MA LOURDES DE ASIS, MD 100 WOODS ROAD VALHALLA, NY |
| LEANNE M FORMAN, MD WESTCHESTER MEDICAL CENTER, GRASSLANDS ROAD VALHALLA, NY |
| LEWIS M ROTHMAN, MD 95 GRASSLANDS ROAD VALHALLA, NY |
| PETER RHEE, MD 100 WOODS RD VALHALLA, NY |
| JOAN A MONROE, MD 100 WOODS RD VALHALLA, NY |
| ZAHAVA FARKAS, DO 100 WOODS RD VALHALLA, NY |
MOUNT KISCO MEDICAL GROUP PC