Basic Information
Provider Information
NPI: 1558424705
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FARKAS
FirstName: STEVEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 110 S BEDFORD RD
Address2: CARE MOUNT MEDICAL, PC
City: MOUNT KISCO
State: NY
PostalCode: 105493446
CountryCode: US
TelephoneNumber: 9142411050
FaxNumber: 9142421516
Practice Location
Address1: 90 S BEDFORD RD
Address2: CARE MOUNT MEDICAL PC
City: MOUNT KISCO
State: NY
PostalCode: 105493412
CountryCode: US
TelephoneNumber: 9142411050
FaxNumber: 9142421516
Other Information
ProviderEnumerationDate: 12/19/2006
LastUpdateDate: 11/11/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085B0100X228080NYN Allopathic & Osteopathic PhysiciansRadiologyBody Imaging
2085N0904X228080NYN Allopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
2085P0229X228080NYN Allopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
2085R0202X228080NYY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

ID Information
IDTypeStateIssuerDescription
066791000101NYDMEOTHER
0287113005NY MEDICAID
P0038937701NYMEDICARE RAILROADOTHER


Home