Individual
IRIS WERTHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 E MAIN ST, CAREMOUNT MEDICAL, PC, MOUNT KISCO, NY 10549-3417
(914) 241-1050
(914) 666-2513
Mailing address
110 S BEDFORD RD, CAREMOUNT MEDICAL, PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 666-2513
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
039006
CT
207VX0201X
Gynecologic Oncology Physician
Primary
202735-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010202735NY03
BLUE CROSS BLUE SHIELD
NY
05
—
01685987
—
NY
01
—
50U06GW701
MEDICARE ID -TYPE UNSPECI
NY
01
—
A400071866
MEDICAR PTAN
NY
01
—
P00299044
RAILROAD MEDICARE
NY
Enumeration date
11/09/2005
Last updated
09/09/2016
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