Organization · Type 2 NPI

Mount Kisco Medical Group PC

Hematology & Oncology Physician · Mount Kisco, NY

NPI number 1104863836 Active

Practice location

34 South Bedford Rd, Mount Kisco Medical Group Pc
Mount Kisco, NY 10549

Fax (914) 242-1516

Mailing address

90 S Bedford Rd, Mount Kisco Medical Group Pc
Mount Kisco, NY 10549-3412

Specialties and licenses

TaxonomyCodeLicense
Allergy Physician 207KA0200XNone listed
Dermatology Physician 207N00000XNone listed
Cardiovascular Disease Physician 207RC0000XNone listed
Endocrinology, Diabetes & Metabolism Physician 207RE0101XNone listed
Gastroenterology Physician 207RG0100XNone listed
Hematology (Internal Medicine) Physician 207RH0000XNone listed
Hematology & Oncology Physician Primary 207RH0003XNone listed
Gynecology Physician 207VG0400XNone listed
Orthopaedic Hand Surgery Physician 207XS0106XNone listed
Orthopaedic Foot and Ankle Surgery Physician 207XX0004XNone listed
Diagnostic Radiology Physician 2085R0202XNone listed
Surgery Physician 208600000XNone listed
Colon & Rectal Surgery Physician 208C00000XNone listed
Audiologist 231H00000XNone listed
Advanced Practice Midwife 367A00000XNone listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Another provider at this address

Other hematology & oncology physician providers in Mount Kisco

See all in Mount Kisco →

About NPI 1104863836

Mount Kisco Medical Group PC's National Provider Identifier is 1104863836, issued on Jun 1, 2006. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Mount Kisco, NY. The record was last updated on Sep 11, 2025.