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Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
Mount Sinai School of Medicine - One Medical
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA GRESHAM (VP NETWORK OPERATIONS)
(212) 659-9038
Entity
Organization
Contact information
Practice address
1790 BROADWAY STE 1802, NEW YORK, NY 10019-1471
(212) 530-0624
Mailing address
150 EAST 42ND STREET, 5TH FLOOR, 5.A.30.6, NEW YORK, NY 10017
(646) 605-4113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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