Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mount Kisco Wellness Family Medicine PLLC

Organization Family Medicine Physician · NPI 1760055719

Mount Kisco Wellness Family Medicine PLLC provides Family Medicine Physician services in Mount Kisco, New York. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

666 Lexington Ave Ste 207A
Mount Kisco, NY 10549-3635
Phone: (917) 836-3892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1760055719
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kulravee Puttharuska-Keegan — Provider/Owner · (917) 836-3892
NPI enumeratedJuly 19, 2021
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021
Mailing addressPo Box 64, Tuckahoe, NY 10707-0064

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