| Mount Kisco Wellness Family Medicine Pllc | |
|
666 Lexington Ave Ste 207a Mount Kisco NY 10549-3635 | |
| (917) 836-3892 | |
| Not Available |
| Full Name | Mount Kisco Wellness Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 666 Lexington Ave Ste 207a, Mount Kisco, New York |
| Authorized Official Name and Position | Kulravee Puttharuska-keegan (PROVIDER/OWNER) |
| Authorized Official Contact | 9178363892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Kisco Wellness Family Medicine Pllc Po Box 64 Tuckahoe NY 10707-0064 Ph: () - | Mount Kisco Wellness Family Medicine Pllc 666 Lexington Ave Ste 207a Mount Kisco NY 10549-3635 Ph: (917) 836-3892 |
| NPI Number | 1760055719 |
|---|---|
| Provider Enumeration Date | 07/19/2021 |
| Last Update Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760055719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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