Cedar Mountain Incorporated

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

004284 Issued in NY

Legal business name

CEDAR MOUNTAIN INCORPORATED

Practice address

303 5TH Ave RM 309
New York, NY 10016-6695

Phone

(347) 610-1688

NPI assigned

Jul 22, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Bennett Korody, M.S. P.T. L.AC.

Title

President

Phone

(347) 610-1688

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1003194275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 309",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166695",
            "telephone_number": "347-610-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 309",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166695",
            "telephone_number": "347-610-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR MOUNTAIN INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "KORODY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BENNETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-610-1688",
        "authorized_official_credential": "M.S. P.T. L.AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "004284",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "011620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Ann Cecic, OTR/L
• Ann Cecil-Sterman, MS, L.AC.
• Elliot Cecil, DO
• Victoria Cecilio
• Sheica Cedano
• Cedar Psychotherapy LCSW PLLC
• Tori Lynn Cedar
• Cristal Cedeno
• Kai Cedeno
• Keidy Cedeno, NP

• Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.