Katonah Medical Group Pc is a primary clinic (Urology) in Katonah, New York. The current practice location for Katonah Medical Group Pc is 111 Bedford Road, Katonah, New York. For appointments, you can reach them via phone at
(914) 232-3135. The mailing address for Katonah Medical Group Pc is 111 Bedford Road, Katonah, New York and phone number is (914) 232-3135.
Katonah Medical Group Pc is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1629087788. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(914) 232-3135.
Primary Care Clinic Profile
| Full Name | Katonah Medical Group Pc |
|---|
| Speciality | Urology |
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| Location | 111 Bedford Road, Katonah, New York |
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| Authorized Official Name and Position | Richard C Amodeo (ADMINISTRATOR CFO) |
|---|
| Authorized Official Contact | 9142323135 |
|---|
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Katonah Medical Group Pc
111 Bedford Road
Katonah
NY 10536
Ph: (914) 232-3135 | Katonah Medical Group Pc
111 Bedford Road
Katonah
NY 10536
Ph: (914) 232-3135 |
NPI Details:
| NPI Number | 1629087788 |
|---|
| Provider Enumeration Date | 08/07/2006 |
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| Last Update Date | 08/22/2020 |
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Medical Identifiers
Medical identifiers for Katonah Medical Group Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629087788 | NPI | - | NPPES |
| 00787811 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | (* (Not Available)) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Primary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
| 208200000X | Plastic Surgery | (* (Not Available)) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 208800000X | Urology | (* (Not Available)) | Primary |
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