| Organization Name: | MOUNT KISCO MEDICAL GROUP PC |
| NPI Number: | 1104863836 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ABE LEVY (MEDICAL DIRECTOR) |
| Mailing Address: | 34 South Bedford Rd Mount Kisco Medical Group Pc Mount Kisco |
| State: | NY US |
| Postal Code: | 10549 |
| Phone Number: | 9142411050 |
| Fax Number: | 9142421516 |
| NPI Enumeration Date: | 06/01/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |