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Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
PATHOLOGY AT MOUNT SINAI DOCTORS SOUTH NASSAU, MOUNT SINAI DOCTORS SOUTH NASSAU - PATHOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA GRESHAM (VP OF NETWORK OPERATIONS)
(212) 659-9038
Entity
Organization
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(877) 768-8462
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/16/2018
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