Individual
AUDREY H BIRNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 S BEDFORD RD, CARE MOUNT MEDICAL PC, MOUNT KISCO, NY 10549-3446
(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
208000000X
Pediatrics Physician
174226
NY
2080P0206X
Pediatric Gastroenterology Physician
Primary
174226
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01274437
—
NY
01
—
0667910001
DME
NY
01
—
P00428243
MEDICARE RAILROAD
NY
Enumeration date
05/17/2006
Last updated
11/11/2016
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