MOUNT KISCO WELLNESS FAMILY MEDICINE PLLC – NPI #1760055719
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

MOUNT KISCO WELLNESS FAMILY MEDICINE PLLC is a provider located in MOUNT KISCO, NY. NPPES has assigned the NPI number 1760055719 to MOUNT KISCO WELLNESS FAMILY MEDICINE PLLC on July 19, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on Aug 03, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOUNT KISCO WELLNESS FAMILY MEDICINE PLLC below.

NPI Profile for
MOUNT KISCO WELLNESS FAMILY MEDICINE PLLC

NPI Number
1760055719
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOUNT KISCO WELLNESS FAMILY MEDICINE PLLC
Primary location
666 LEXINGTON AVE STE 207A
MOUNT KISCO, NY 10549-3635
Phone: (917) 836-3892 Fax:
Mailing address
PO BOX 64
TUCKAHOE, NY 10707-0064
Phone: Fax:
Organization Subpart
No
Authorized Official
KULRAVEE PUTTHARUSKA-KEEGAN
PROVIDER/OWNER
Phone: (917) 836-3892
Updated
Certification Date
Aug 03, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.