Individual
MARIA PENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP, PC, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-1516
Mailing address
90 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP, PC, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-1516
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
205033
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02086491
—
NY
Enumeration date
05/25/2006
Last updated
11/13/2008
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