# MOUNT SINAI SCHOOL OF MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124200134
- **Authorized official:** DR. LOUIS RUSSO M.D. (DIRECTOR FPA)
- **Authorized official phone:** (212) 241-6228

## Contact information

- **Practice address:** 1 GUSTAVE L LEVY PL, BOX 1200, NEW YORK, NY 10029-6500
- **Practice address phone:** (212) 241-6187
- **Practice address fax:** (212) 369-7387
- **Mailing address:** 1 GUSTAVE L LEVY PL, BOX 1200, NEW YORK, NY 10029-6500
- **Mailing address phone:** (212) 241-6187
- **Mailing address fax:** (212) 369-7387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0210X | Pediatric Nephrology Physician | — | NULL | Yes |
| 2080P0210X | Pediatric Nephrology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2007
- **Last updated:** 03/05/2008