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Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
Mount Sinai Elmhurst Faculty Practice Group
Organization subpart
No
Provider details
NPI number
Authorized official
MARLON E. BREWER MD (DIRECTOR)
(718) 334-2490
Entity
Organization
Contact information
Practice address
7901 BROADWAY, ROOM A1-9, ELMHURST, NY 11373-1329
(718) 334-4952
(718) 334-4815
Mailing address
7901 BROADWAY, ROOM A1-9, ELMHURST, NY 11373-1329
(718) 334-4952
(718) 334-4815
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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