Active NPI
Sherry Koivunen, RNFA
- Technician
- Mount Kisco, NY
National Provider Identifier
1326241647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- License
- 4980661
- Practice address
- Plastic and Reconstructive Surgery
400 East Main Street
Mount Kisco, NY 10549 - Phone
- (914) 242-7610
- Fax
- (914) 241-3239
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | 4980661 | NY | Primary |
Addresses
Primary practice location
Plastic and Reconstructive Surgery
400 East Main Street
Mount Kisco, NY 10549
Mailing address
Plastic and Reconstructive Surgery
400 East Main Street
Mount Kisco, NY 10549
Phone (914) 242-7610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4980661 | NY | MD | Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326241647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PLASTIC AND RECONSTRUCTIVE SURGERY",
"address_2": "400 EAST MAIN STREET",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "10549",
"telephone_number": "914-242-7610",
"fax_number": "914-241-3239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PLASTIC AND RECONSTRUCTIVE SURGERY",
"address_2": "400 EAST MAIN STREET",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "10549",
"telephone_number": "914-242-7610",
"fax_number": "914-241-3239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOIVUNEN",
"first_name": "SHERRY",
"credential": "RNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "NY",
"license": "4980661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.