Provider Demographics
NPI:1508819921
Name:CEHELSKY, IHOR J (MD)
Entity Type:Individual
Prefix:
First Name:IHOR
Middle Name:J
Last Name:CEHELSKY
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:110 S BEDFORD RD
Mailing Address - Street 2:CARE MOUNT MEDICAL 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:914-242-1516
Practice Address - Street 1:90 S BEDFORD RD
Practice Address - Street 2:CARE MOUNT MEDICAL PC
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3412
Practice Address - Country:US
Practice Address - Phone:914-241-1050
Practice Address - Fax:914-242-1516
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2016-11-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY138433208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0667910001OtherDME
NY00773928Medicaid
NY700002790OtherMEDICARE RAILROAD
NY95A351Medicare PIN
NY95A3506761Medicare PIN