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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

NPI # 1790904878
LBN Legal business name MOUNT KISCO MEDICAL GROUP PC
Authorized official SUSAN MONACO - (BILLING DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
NY Medicaid 00547351
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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