Individual
JEFFREY S POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP PC, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-1371
Mailing address
90 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP PC, MOUNT KISCO, NY 10549-3412
(914) 241-1050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
204808
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
204808
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02138503
—
NY
Enumeration date
05/27/2006
Last updated
06/13/2016
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