Basic Information
| Provider Information | |||||||||
| NPI: | 1144399031 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DUGAN | ||||||||
| FirstName: | MATTHEW | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 110 S BEDFORD RD | ||||||||
| Address2: | CARE MOUNT MEDICAL PC | ||||||||
| City: | MOUNT KISCO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105493446 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9142411050 | ||||||||
| FaxNumber: | 9149411969 | ||||||||
| Practice Location | |||||||||
| Address1: | 537 N STATE RD | ||||||||
| Address2: | CARE MOUNT MEDICAL PC | ||||||||
| City: | BRIARCLIFF MANOR | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105101573 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9149412129 | ||||||||
| FaxNumber: | 9149411969 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2006 | ||||||||
| LastUpdateDate: | 11/11/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 235954 | NY | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 1144399031 | 01 | NY | BLUE CROSS/BLUE SHIELD | OTHER | 1144399031 | 01 | NY | OXFORD | OTHER | 1144399031 | 01 | NY | UNITED HEALTH CARE | OTHER | 02560649 | 05 | NY | MEDICAID | 1144399031 | 01 | NY | AETNA | OTHER | 1144399031 | 01 | NY | ATLANTIS HEALTH PLAN | OTHER | 1144399031 | 01 | NY | PHCS | OTHER | 1144399031 | 01 | NY | MULTIPLAN | OTHER | 1144399031 | 01 | NY | HEALTHNET | OTHER | 1144399031 | 01 | NY | UNITED HEALTH CARE/EMPIRE PLAN | OTHER | 1144399031 | 01 | NY | POMCO | OTHER | 1144399031 | 01 | NY | CIGNA | OTHER | 1144399031 | 01 | NY | MVP | OTHER |