DANIEL J BRODOFF (NPI# 1164474854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164474854 |
| Entity Type | Individual |
| Full Name | DANIEL J BRODOFF |
| Credential | MD |
| Practice Address |
Mount Kisco Medical Group PC 90 South Bedford Rd Mount Kisco NY 10549-3412 |
| Mailing Address |
Mount Kisco Medical Group PC 90 South Bedford Road Mount Kisco NY 10549-3412 |
| Practice Telephone | 9142411050 |
| Practice Fax Number | 9142421516 |
| Mailing Telephone | 9142411050 |
| Mailing Fax Number | 9142421516 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2009-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
226023 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE RAILROAD | 300133007 | 01 |
| NY | DME | 0667910001 | 01 |
| NY | 02319088 | 05 |
| Street Address |
MOUNT KISCO MEDICAL GROUP PC 90 SOUTH BEDFORD RD |
| City | MOUNT KISCO |
| State | NY |
| Zip Code | 10549-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497795587 | Menachem Schechter | Hospitalist | Mount Kisco Medical Group PC, 400 East Main Street, Mount Kisco, NY 10549 | 2006-06-07 |
| 1467491126 | Susan E Yurcisin | Nurse Practitioner | Mount Kisco Medical Group PC, 90 South Bedford Road, Mount Kisco, NY 10549 | 2006-06-06 |
| 1346287042 | Jennifer Botte Gannon | Obstetrics & Gynecology | Mount Kisco Medical Group PC, 90 South Bedford Rd, Mount Kisco, NY 10549-3412 | 2006-06-01 |
| 1477500395 | Keri Rescigno | Nurse Practitioner | Mount Kisco Medical Group PC, 90 South Bedford Road, Mount Kisco, NY 10549-3412 | 2006-05-27 |
| 1467408534 | Carolyn J Clarick | Internal Medicine | Mount Kisco Medical Group PC, 90 South Bedford Road, Mount Kisco, NY 10549-3412 | 2006-05-26 |
| 1902851462 | Marie A Elms | Nurse Practitioner | Mount Kisco Medical Group PC, 110 South Bedford Road, Mount Kisco, NY 10549-3412 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346736618 | The Amerson Center, LLC | Day Training, Developmentally Disabled Services | 13 Timber Rdg, Mount Kisco, NY 10549 | 2018-07-10 |
| 1518496918 | Richard Mark Schnabel | Counselor | 116 Radio Circle, Mt Kisco, NY 10549 | 2017-06-08 |
| 1568997088 | Jodi Baretz | Social Worker | 4 Smith Ave, The Center for Health and Healing, Mt Kisco, NY 10549 | 2017-04-21 |
| 1598205205 | Tracey A Blum | Nurse Practitioner | 110 S. Bedford Road, Caremount Medical PC, Mt Kisco, NY 10549 | 2017-02-28 |
| 1083153936 | Marissa L Schwartz | Dentist | 359 E Main St Ste 2f, Mount Kisco, NY 10549 | 2017-02-13 |
| 1700249299 | Patricia Harte | Specialist | 15 Caren Court, Mount Kisco, NY 10549 | 2016-04-01 |
| 1154663458 | Nicola Ann Quatrano | Dermatology | 185 Kisco Ave Ste 300, Mount Kisco, NY 10549 | 2013-03-25 |
| 1053671503 | Harvey Joel Rosenberg | Internal Medicine | Caremount Medical, P.C., 90 South Bedford Road, Mount Kisco, NY 10549 | 2012-05-17 |
| 1427320597 | Raymond Koloski | Pediatrics | 200 Woodcrest Lane, Apt 226, Mt. Kisco, NY 10549 | 2012-02-03 |
| 1114232733 | Bedford Central School District | Local Education Agency (LEA) | 47 West Hyatt Avenue, Mount Kisco, NY 10549 | 2010-08-09 |
| Find all providers in zip 10549 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114098555 | Sandra L Santiago | Radiology | Mount Kisco Medical Group, 90 South Bedford Road, Mount Kisco, NY 10549-3412 | 2006-11-09 |
| 1255320727 | Northeast Radiology PC | Radiology | 666 Lexington Ave, Mount Kisco, NY 10549 | 2005-10-18 |
| 1639335292 | Matthew T. Lewis | Radiology | 90 S Bedford Rd, Mount Kisco, NY 10549-3412 | 2008-08-04 |
| 1669671194 | Neil Pravin Shah | Radiology | 90 S Bedford Rd, Caremount Medical PC, Mount Kisco, NY 10549-3412 | 2007-07-14 |
| 1154412153 | Melissa Rae Scheer | Radiology | 105 S Bedford Rd, Mount Kisco, NY 10549-3441 | 2006-09-27 |
| 1518064740 | Women's Imaging of Northern Westchester, P.C. | Radiology | 105 S Bedford Rd, Mount Kisco, NY 10549-3441 | 2006-09-20 |
| 1578678330 | Virna Lisi-demartino | Radiology | 90 S Bedford Rd, Care Mount Medical PC, Mount Kisco, NY 10549-3412 | 2006-08-20 |
| 1487768073 | Peter Khouri | Radiology | Northern Westchester Hospital, 400 East Main St, Mount Kisco, NY 10549 | 2006-08-19 |
| 1407872914 | John C Chen | Radiology | 90 S Bedford Rd, Care Mount Medical PC, Mount Kisco, NY 10549-3412 | 2006-07-15 |
| 1720025364 | Robin M Miller | Radiology | 90 S Bedford Rd, Care Mount Medical, PC, Mount Kisco, NY 10549-3412 | 2006-06-01 |
| Find all providers in MOUNT KISCO | ||||
| City | MOUNT KISCO |
| Zip Code | 10549 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.