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Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Parent organization
MOUNT SINAI HOSPITAL
Other names
MOUNT SINAI MARATHON MEDICAL
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
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3670
(516) 336-5309
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3670
(516) 336-5309
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
06/06/2012
Last updated
10/24/2018
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