Organization
NORTHERN WESTCHESTER PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALIK A KUTTY M.D. (PRESIDENT)
(914) 666-6609
Entity
Organization
Contact information
Practice address
83 S BEDFORD RD, 2ND FLOOR, MOUNT KISCO, NY 10549-3429
(914) 666-6609
Mailing address
4660 SWEETWATER BLVD, SUITE 150, SUGAR LAND, TX 77479-3166
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
209241
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WMJ742
MEDICARE GROUP NUMBER
—
Enumeration date
10/18/2007
Last updated
06/03/2010
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