Basic Information
Provider Information
NPI: 1417905449
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: APPEL
FirstName: JOSEPH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 110 S BEDFORD RD
Address2: CAREMOUNT MEDICAL PC
City: MOUNT KISCO
State: NY
PostalCode: 105493446
CountryCode: US
TelephoneNumber: 9142411050
FaxNumber: 9142421516
Practice Location
Address1: 1561 ROUTE 9W
Address2:  
City: LAKE KATRINE
State: NY
PostalCode: 124495410
CountryCode: US
TelephoneNumber: 8452315600
FaxNumber: 8453317160
Other Information
ProviderEnumerationDate: 05/04/2006
LastUpdateDate: 11/15/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X136694NYY Allopathic & Osteopathic PhysiciansPediatrics 

ID Information
IDTypeStateIssuerDescription
0054223205NY MEDICAID


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