# ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Mount Sinai Doctors SI Caner, MOUNT SINAI DOCTORS SI CANCER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740773936
- **Authorized official:** ALICIA GRESHAM (VP NETWORK OPERATIONS)
- **Authorized official phone:** (212) 659-9038

## Contact information

- **Practice address:** 1910 RICHMOND RD, STATEN ISLAND, NY 10306-2552
- **Practice address phone:** (718) 987-9777
- **Mailing address:** 1910 RICHMOND RD, STATEN ISLAND, NY 10306-2552
- **Mailing address phone:** (718) 987-1430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | NULL | — |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |
| 207RX0202X | Medical Oncology Physician | — | NULL | — |
| 207RX0202X | Medical Oncology Physician | — | — | — |

## Other

- **Enumeration date:** 06/12/2018
- **Last updated:** 01/17/2020