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Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Parent organization
MOUNT SINAI HOSPITAL
Other names
MT SINAI DOCTORS SI-VICTORY INT MED
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT SINAI HOSPITAL
Authorized official
ALICIA GRESHAM (VP NETWORK OPERATIONS)
(212) 659-9038
Entity
Organization
Contact information
Practice address
2315 VICTORY BLVD, STATEN ISLAND, NY 10314-6623
(718) 477-6900
Mailing address
2315 VICTORY BLVD, STATEN ISLAND, NY 10314-6623
(718) 477-6900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/03/2015
Last updated
01/17/2020
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