Organization
KATONAH MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD C AMODEO (ADMINISTRATOR CFO)
(914) 232-3135
Entity
Organization
Contact information
Practice address
111 BEDFORD ROAD, KATONAH, NY 10536
(914) 232-3135
(914) 232-4465
Mailing address
111 BEDFORD ROAD, KATONAH, NY 10536
(914) 232-3135
(914) 232-4465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00787811
—
NY
Enumeration date
08/07/2006
Last updated
09/11/2025
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