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Individual

KATHY PURVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
192 ROUTE 117 BYPASS RD, MOUNT KISCO MEDICAL GROUP PC, BEDFORD HILLS, NY 10507-2146
(914) 241-1050
(914) 232-3826
Mailing address
110 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 232-3826

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
222455
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02288815
NY
01
0667910001
DME
NY
Enumeration date
10/20/2006
Last updated
08/06/2016
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