# MAMARONECK MEDICAL, PLLC

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

## Provider details

- **NPI number:** 1992101984
- **Authorized official:** DR. LILI KUNG M.D. (PHYSICIAN)
- **Authorized official phone:** (914) 523-1948

## Contact information

- **Practice address:** 933 MAMARONECK AVE, SUITE 102, MAMARONECK, NY 10543-1662
- **Practice address phone:** (914) 523-1948
- **Mailing address:** PO BOX 204, MAMARONECK, NY 10543-0204
- **Mailing address phone:** (914) 523-1948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 218148 | NY | Yes |

## Other

- **Enumeration date:** 11/18/2014
- **Last updated:** 07/06/2015