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Organization
MOUNT SINAI HOSPITAL MEDICAL CENTER
Active
Organization
MOUNT SINAI HOSPITAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE JOAN LACOSTE PA-C (PHYSICIAN ASSISTANT)
(508) 344-7504
Entity
Organization
Contact information
Practice address
5 E 98TH ST, FLOOR 2, NEW YORK, NY 10029-6501
(212) 241-7952
Mailing address
3 FOX RUN, STURBRIDGE, MA 01566-1232
(508) 344-7504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019025-1
NY
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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