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Organization
MOUNT SINAI QUEENS FACULTY PRACTICE GROUP
Active
Organization
MOUNT SINAI QUEENS FACULTY PRACTICE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISE MARY REHWALDT M.D. (DIRECTOR.)
(718) 883-3000
Entity
Organization
Contact information
Practice address
8268 164TH ST, ROOM B265, JAMAICA, NY 11432-1121
(718) 883-3000
(718) 883-6129
Mailing address
8268 164TH ST, ROOM B265, JAMAICA, NY 11432-1121
(718) 883-3000
(718) 883-6129
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/28/2006
Last updated
08/22/2020
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