# ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MOUNT SINAI HOSPITAL
- **Other names:** MT SINAI DOCTORS STATEN ISLAND GI
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255882734
- **Legal business name:** MOUNT SINAI HOSPITAL
- **Authorized official:** ALICIA GRESHAM (VP OF NETWORK OPERATIONS)
- **Authorized official phone:** (212) 659-9038

## Contact information

- **Practice address:** 129 SLOSSON AVE, STATEN ISLAND, NY 10314-2522
- **Practice address phone:** (718) 720-5928
- **Practice address fax:** (718) 720-6706
- **Mailing address:** 129 SLOSSON AVE, STATEN ISLAND, NY 10314-2522
- **Mailing address phone:** (718) 720-5928
- **Mailing address fax:** (718) 720-6706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2016
- **Last updated:** 10/19/2016