Individual
JANE M GEDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
175413
NY
207RG0100X
Gastroenterology Physician
Primary
175413
NY
207RI0008X
Hepatology Physician
175413
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01626815
—
NY
01
—
0667910001
DME
NY
01
—
100015876
MEDICARE RAILROAD
NY
Enumeration date
05/24/2006
Last updated
11/11/2016
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