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MOUNT KISCO MEDICAL GROUP PC NPI 1740315217


NPI Information

NPI: 1740315217
Provider Name: MOUNT KISCO MEDICAL GROUP PC
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

Address:
90 S BEDFORD RD
MOUNT KISCO MEDICAL GROUP PC
MOUNT KISCO, NY
ZIP 10549
Phone: (914) 241-1050
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MOUNT KISCO MEDICAL GROUP PC is an allergy allergy immunology in Mount Kisco, NY. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee MOUNT KISCO MEDICAL GROUP PC NPI is 1740315217. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

90 S BEDFORD RD
MOUNT KISCO MEDICAL GROUP PC
MOUNT KISCO, NY
ZIP 10549-412
Phone: (914) 241-1050
Fax: (914) 242-1516

The provider's authorized official is Abe Levy .
The authorized official title is Medical Director and has the following contact phone number (914) 241-1050.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207KA0200XAllergy & ImmunologyAllergyNEW YORKYes
2207N00000XDermatologyNEW YORKX
3207R00000XInternal MedicineNEW YORKX
4207RC0000XInternal MedicineCardiovascular DiseaseNEW YORKX
5207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNEW YORKX
6207RG0100XInternal MedicineGastroenterologyNEW YORKX
7207RH0000XInternal MedicineHematologyNEW YORKX
8207RH0003XInternal MedicineHematology & OncologyNEW YORKX
9207RP1001XInternal MedicinePulmonary DiseaseNEW YORKX
10207V00000XObstetrics & GynecologyNEW YORKX
11207W00000XOphthalmologyNEW YORKX
12207Y00000XOtolaryngologyNEW YORKX
13208000000XPediatricsNEW YORKX
142085R0202XRadiologyDiagnostic RadiologyNEW YORKX
15208800000XUrologyNEW YORKX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100547351MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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