Healthcare Provider Details

I. General information

NPI: 1902547896
Provider Name (Legal Business Name): RUTH LEAH SISKIN MD MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 S BEDFORD RD STE 305
MOUNT KISCO NY
10549-3450
US

IV. Provider business mailing address

105 S BEDFORD RD STE 305
MOUNT KISCO NY
10549-3450
US

V. Phone/Fax

Practice location:
  • Phone: 914-241-4900
  • Fax:
Mailing address:
  • Phone: 914-241-4900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number343492
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: