# MOUNT SINAI SCHOOL OF MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mount Sinai Marathon Medical - Endocrinology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679199608
- **Authorized official:** ALICIA GRESHAM (VP NETWORK OPERATIONS)
- **Authorized official phone:** (212) 659-9038

## Contact information

- **Practice address:** 2209 MERRICK RD STE 100, MERRICK, NY 11566-4770
- **Practice address phone:** (516) 546-5000
- **Mailing address:** 2209 MERRICK RD STE 100, MERRICK, NY 11566-4770
- **Mailing address phone:** (516) 546-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/25/2020
- **Last updated:** 06/25/2020