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 (DIRECTOR, FACULTY PRACTICE GROUP)
(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
152W00000X
Optometrist
—
—
207Y00000X
Otolaryngology Physician
—
—
207YP0228X
Pediatric Otolaryngology Physician
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0120X
Pediatric Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
10/30/2012
Last updated
05/10/2016
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