Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
Mount Sinai Solutions Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD PETERSON (SENIOR DIRECTOR CBO)
(646) 605-8145
Entity
Organization
Contact information
Practice address
11 MADISON AVE # LEVEL1B, NEW YORK, NY 10010-3643
(646) 899-5975
Mailing address
150 E 42ND ST FL 10, NEW YORK, NY 10017-5626
(646) 605-8119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
Other
Enumeration date
12/24/2018
Last updated
01/14/2020
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