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Organization

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Active
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Organization

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Active
Parent organization
MOUNT SINAI HOSPITAL
Other names
MT SINAI DOCTORS STATEN ISLAND MEDICINE
Organization subpart
Yes

Provider details

NPI number
Legal business name
MOUNT SINAI HOSPITAL
Authorized official
ALICIA GRESHAM (VP OF NETWORK OPERATIONS)
(212) 659-9038
Entity
Organization

Contact information

Practice address
283 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 816-8068
(718) 448-6299
Mailing address
283 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 816-8068
(718) 448-6299

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
01/11/2018
Last updated
01/11/2018
About Stedi
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