# MOUNT KISCO ORAL SURGERY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588381685
- **Authorized official:** ANDREW HOROWITZ (OWNER)
- **Authorized official phone:** (917) 710-1917

## Contact information

- **Practice address:** 103 S BEDFORD RD STE 205, MOUNT KISCO, NY 10549-3453
- **Practice address phone:** (914) 689-7550
- **Mailing address:** 103 S BEDFORD RD STE 205, MOUNT KISCO, NY 10549-3453
- **Mailing address phone:** (914) 689-7550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2022
- **Last updated:** 10/20/2022