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Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
MOUNT SINAI DOCTORS SOUTH NASSAU - HEMATOLOGY / ONCOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA GRESHAM (VP OF NETWORK OPERATIONS)
(212) 659-9038
Entity
Organization
Contact information
Practice address
2209 MERRICK RD STE 101, MERRICK, NY 11566
(516) 546-5000
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
—
NULL
163WM0705X
Medical-Surgical Registered Nurse
—
—
163WX0200X
Oncology Registered Nurse
—
NULL
163WX0200X
Oncology Registered Nurse
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
NULL
2085R0001X
Radiation Oncology Physician
—
—
Other
Enumeration date
05/31/2018
Last updated
06/08/2018
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