MEDICARE: LOIS TUERK-MENDELSOHN, M.D. P.C.

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
1	207K00000X	Allergy & Immunology Physician	172790	NY

General Provider Information

NPI Number	:	1912161092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOIS TUERK-MENDELSOHN, M.D. P.C.

Provider Business Mailing Address
First Line	:	103 S BEDFORD RD
Second Line	:	SUITE 208
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-3440
Country	:	US
Telephone Number	:	914-666-7171
Fax Number	:	914-666-3911

Provider Business Practice Location Address
First Line	:	103 S BEDFORD RD
Second Line	:	SUITE 208
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-3440
Country	:	US
Telephone Number	:	914-666-7171
Fax Number	:	914-666-3911

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LOIS TUERK-MENDELSOHN
Credential	:	M. D.
Telephone Number	:	914-666-7171

Provider Enumeration Date	:	07/17/2008
Last Update Date	:	07/17/2008

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