# MOUNT SINAI INTENSIVISTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598901191
- **Authorized official:** MR. WAYNE CHUTKAN (SENIOR VP FINANCE)
- **Authorized official phone:** (305) 674-2662

## Contact information

- **Practice address:** 4300 ALTON ROAD, MIAMI BEACH, FL 33140-2800
- **Practice address phone:** (305) 674-2121
- **Practice address fax:** (305) 525-7919
- **Mailing address:** PO BOX 19186, MIAMI, FL 33101-9186
- **Mailing address phone:** (305) 674-2222
- **Mailing address fax:** (305) 674-2007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/02/2009
- **Last updated:** 09/22/2021