Individual
LEWIS KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
90 SOUTH BEDFORD ROAD, MOUNT KISCO MEDICAL GROUP PC, MOUNT KISCO, NY 10549
(914) 241-1050
(914) 242-1516
Mailing address
110 S. BEDFORD ROAD, MOUNT KISCO MEDICAL GROUP PC, MOUNT KISCO, NY 10549
(914) 241-1050
(914) 242-1516
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
169284
NY
207R00000X
Internal Medicine Physician
169284
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01717459
—
NY
Enumeration date
01/16/2007
Last updated
01/20/2011
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