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Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
Mount Sinai Marathon Medical - Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA GRESHAM (VP NETWORK OPERATIONS)
(212) 659-9038
Entity
Organization
Contact information
Practice address
242 MERRICK RD STE 301, ROCKVILLE CENTRE, NY 11570-5254
(516) 536-1455
Mailing address
242 MERRICK RD STE 301, ROCKVILLE CENTRE, NY 11570-5254
(516) 536-1455
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
NULL
207RX0202X
Medical Oncology Physician
—
—
364SX0200X
Oncology Clinical Nurse Specialist
—
NULL
364SX0200X
Oncology Clinical Nurse Specialist
—
—
Other
Enumeration date
10/29/2018
Last updated
01/11/2019
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