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Individual

SCOTT M. KLARES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
90 S BEDFORD RD, CARE MOUNT MEDICAL PC, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-1516
Mailing address
110 S BEDFORD RD, CARE MOUNT MEDICAL PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-1516

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
210154
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
210154
NY
207RP1001X
Pulmonary Disease Physician
Primary
210154
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01861283
NY
01
0667910001
DME
NY
01
110230737
MEDICARE RAILROAD
NY
Enumeration date
05/18/2006
Last updated
11/11/2016
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