Basic Information
Provider Information
NPI: 1255584728
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SY
FirstName: JUNE MARIE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PT
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Mailing Information
Address1: 110 S. BEDFORD RD
Address2: CAREMOUNT MEDICAL, PC
City: MOUNT KISCO
State: NY
PostalCode: 10549
CountryCode: US
TelephoneNumber: 9142411050
FaxNumber: 9142421516
Practice Location
Address1: 3680 HILL BLVD
Address2: CAREMOUNT MEDICAL, PC
City: JEFFERSON VALLEY
State: NY
PostalCode: 10535
CountryCode: US
TelephoneNumber: 9142411050
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/28/2008
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X023965-1NYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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