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Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
Mount Sinai Hospital Based Providers
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD A PETERSON (AUTHORIZED OFFICIAL)
(646) 605-8145
Entity
Organization
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-6500
Mailing address
150 E 42ND ST FL 2, NEW YORK, NY 10017-5612
(646) 605-8119
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
12/31/2012
Last updated
12/09/2022
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