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Organization
ORAL SURGERY, MT. SINAI SCHOOL OF MEDICINE
Active
Organization
ORAL SURGERY, MT. SINAI SCHOOL OF MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHALEEN GRANT MHSA (ADMINISTRATIVE DIRECTOR)
(212) 241-0806
Entity
Organization
Contact information
Practice address
1 GUSTAVE L. LEVY PLACE, BOX 1187, NEW YORK, NY 11209
(212) 241-0300
(212) 996-9793
Mailing address
1 GUSTAVE L. LEVY PLACE, BOX 1187, NEW YORK, NY 11209
(212) 241-0300
(212) 996-9793
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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