Provider Demographics
NPI:1063412237
Name:SANGIORGIO, MARIA R (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:R
Last Name:SANGIORGIO
Suffix:
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:914-232-7588
Practice Address - Street 1:111 BEDFORD RD
Practice Address - Street 2:STE. 2800
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-2115
Practice Address - Country:US
Practice Address - Phone:914-241-1050
Practice Address - Fax:914-232-7588
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2016-06-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY197107-12084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY130026376OtherRAILROAD MEDICARE
NY02138512Medicaid
NY02138512Medicaid
NY130026376OtherRAILROAD MEDICARE
NYW7Z231Medicare PIN