Iris Wertheim
Gynecologic Oncologist
400 E Main St Caremount Medical, Pc
Mount Kisco
, New York 10549-3417
Iris Wertheim
Gynecologic Oncologist
400 E Main St Caremount Medical, Pc
Mount Kisco
, New York 10549-3417
(914) 666-2513
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Iris Wertheim
- 110 S Bedford Rd Caremount Medical, Pc
- Mount Kisco, NY
- Zip : 10549-3446
- Fax : (914) 666-2513
- Phone : (914) 241-1050
Second Address
- Iris Wertheim
- 400 E Main St Caremount Medical, Pc
- Mount Kisco, NY
- Zip : 10549-3417
- Fax : (914) 666-2513
- Phone : (914) 241-1050
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207VX0201X | Gynecologic Oncologist | 039006 | CT |
| Y | 207VX0201X | Gynecologic Oncologist | 202735-1 | NY |
National Provider Identifier
| NPI | 1417938192 |
|---|---|
| Provider Name | Iris Wertheim |
| First Address | Mount Kisco, NY 10549-3446 |
| Second Address | Mount Kisco, NY 10549-3417 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2005 |
| Last Update Date | 09/09/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 010202735NY03 | BLUE CROSS BLUE SHIELD (01) | NY |
| 01685987 | (05) | NY |
| 50U06GW701 | MEDICARE ID -TYPE UNSPECI (01) | NY |
| A400071866 | MEDICAR PTAN (01) | NY |
| G37456 | (02) | CT |
| P00299044 | RAILROAD MEDICARE (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.