Provider Demographics
NPI:1164867123
Name:NEPTUNE, JEHYE (MD)
Entity Type:Individual
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First Name:JEHYE
Middle Name:
Last Name:NEPTUNE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:110 S BEDFORD RD
Mailing Address - Street 2:MOUNT KISCO MEDICAL GROUP, PC
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3446
Mailing Address - Country:US
Mailing Address - Phone:914-241-1050
Mailing Address - Fax:914-302-8610
Practice Address - Street 1:360 N BEDFORD RD
Practice Address - Street 2:MOUNT KISCO MEDICAL GROUP, PC
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-1143
Practice Address - Country:US
Practice Address - Phone:914-241-1050
Practice Address - Fax:914-302-8610
Is Sole Proprietor?:No
Enumeration Date:2013-05-05
Last Update Date:2016-06-16
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Provider Licenses
StateLicense IDTaxonomies
NY280552207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04231921Medicaid
NY04231921Medicaid