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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 STATEN ISLAND MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT SINAI HOSPITAL
Authorized official
JANET STREET (AVP OPERATIONS)
(646) 354-3680
Entity
Organization
Contact information
Practice address
476 KLONDIKE AVE, STATEN ISLAND, NY 10314-6216
(718) 761-1156
(718) 761-1047
Mailing address
150 E 42ND ST FL 5, 5.A.30.6, NEW YORK, NY 10017-5612
(646) 634-9814
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
NULL
163WI0500X
Infusion Therapy Registered Nurse
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
NULL
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207UN0901X
Nuclear Cardiology Physician
—
NULL
207UN0901X
Nuclear Cardiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
12/22/2017
Last updated
02/26/2026
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