Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
Mount Sinai Elmhurst Faculty Practice Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA PILAR GONZALEZ JIMENEZ MD (BILLING MANAGER)
(718) 334-1591
Entity
Organization
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-1591
(718) 334-4815
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-1591
(718) 334-4815
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207LP3000X
Pediatric Anesthesiology Physician
—
—
Other
Enumeration date
10/30/2012
Last updated
05/10/2016
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