Organization Name: | MT KISCO SURGERY CENTER LLC |
NPI Number: | 1831274208 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONNA MOCCIO (ADMINISTRATOR) |
Mailing Address: | 34 South Bedford Road Mt Kisco |
State: | NY US |
Postal Code: | 10549 |
Phone Number: | 9142446789 |
Fax Number: | 9142446766 |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 07/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 5946202R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |