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Mount Vernon Medical Practice
General Practice Physician in Mount Vernon, New York
NPI 1740596741

Mount Vernon Medical Practice is a General Practice Physician based in Mount Vernon, NY. Mount Vernon Medical Practice practices in Mount Vernon, NY. The NPI Number for Mount Vernon Medical Practice is 1740596741 and holds a License No. 192587 (New York).

The current practice location address for Mount Vernon Medical Practice is 153 Stevens Ave, Mount Vernon, NY and can be reached out via phone at 914-666-1400 and via fax at 914-666-0629.

Location: 153 Stevens Ave, Mount Vernon, NY, 10550-2543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740596741
Provider Name
Mount Vernon Medical Practice
Credential
Provider Entity Type
Organization
Address
153 Stevens Ave, Mount Vernon, NY, 10550-2543
Phone Number
914-666-1400
Fax Number
914-666-0629
Provider Enumeration Date
08/27/2010
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
01605527 05 NY
institution
Provider Business Practice Location Address Details
Address
153 Stevens Ave
City
Mount Vernon
State
New York
Zip
10550-2543
Phone Number
914-666-1400
Fax Number
914-666-0629
person
Provider Business Mailing Address Details
Address
153 Stevens Ave
City
Mount Vernon
State
New York
Zip
10550-2543
Phone Number
914-666-1400
Fax Number
914-666-0629
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
192587 (New York)
Definition
Definition to come...
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