Provider Demographics
NPI:1497872519
Name:DRS. MOONEY AND DIECK
Entity Type:Organization
Organization Name:DRS. MOONEY AND DIECK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-666-4939
Mailing Address - Street 1:185 KISCO AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-1409
Mailing Address - Country:US
Mailing Address - Phone:914-666-4939
Mailing Address - Fax:914-242-7209
Practice Address - Street 1:185 KISCO AVE
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-1409
Practice Address - Country:US
Practice Address - Phone:914-666-4939
Practice Address - Fax:914-242-7209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY42Z47WS371Medicare PIN
NYA61338Medicare UPIN