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NPI Code Detail

MEDICARE: MOUNT KISCO MEDICAL GROUP PC

MEDICARE: MOUNT KISCO MEDICAL GROUP PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2207RC0000XCardiovascular Disease Physician
3207RE0101XEndocrinology, Diabetes & Metabolism Physician
4207RG0100XGastroenterology Physician
5207RH0003XHematology & Oncology Physician
6207RR0500XRheumatology Physician
7208000000XPediatrics Physician
82085R0202XDiagnostic Radiology Physician
9208600000XSurgery Physician
10208800000XUrology Physician
11207V00000XObstetrics & Gynecology Physician

General Provider Information

NPI Number : 1407802481
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNT KISCO MEDICAL GROUP PC
Provider Business Mailing Address
First Line : MT KISCO MEDICAL GROUP PC
Second Line : 90 SOUTH BEDFORD ROAD
City : MT KISCO
State : NY
Zip : 10549-3412
Country : US
Telephone Number : 914-241-1050
Fax Number : 914-242-1516
Provider Business Practice Location Address
First Line : MT KISCO MEDICAL GROUP PC
Second Line : 1825 COMMERCE ST
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-4432
Country : US
Telephone Number : 914-962-5060
Fax Number : 914-242-1516
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : ABE LANG
Credential : MD
Telephone Number : 914-242-1587
Provider Enumeration Date : 05/25/2006
Last Update Date : 09/11/2025

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Practice Fax: 914-242-1516
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Practice Location Address:
1825 COMMERCE ST , CARE MOUNT MEDICAL, PC
YORKTOWN HEIGHTS, NY
10598-4432
Practice Phone: 914-241-1050
Practice Fax: 914-962-0527

Directions to “MOUNT KISCO MEDICAL GROUP PC ” Practice Location

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