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Contact Information

MOUNT KISCO MEDICAL GROUP PC
111 BEDFORD RD
KATONAH, NY10536
 Phone: 914-232-3135
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for MOUNT KISCO MEDICAL GROUP PC · (Female)

NPI Number 1790904878
Status Active
Credentials
Entity Individual
Enumeration date 04/25/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 00547351
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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