Organization
INTEGRATED MEDICINE OF MOUNT KISCO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NILAY R SHAH M.D. (OWNER)
(917) 412-8537
Entity
Organization
Contact information
Practice address
495 E MAIN ST, MOUNT KISCO, NY 10549-3405
(914) 242-8844
(917) 536-9787
Mailing address
495 E MAIN ST, MOUNT KISCO, NY 10549-3405
(914) 242-8844
(917) 536-9787
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
227852
NY
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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