Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
MOUNT SINAI DOCTORS SOUTH NASSAU, CRSSNY
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA GRESHAM (VP NETWORK OPERATIONS)
(212) 659-9038
Entity
Organization
Contact information
Practice address
1100 FRANKLIN AVE STE 203, GARDEN CITY, NY 11530-1601
(516) 494-3027
(516) 248-5162
Mailing address
1100 FRANKLIN AVE STE 203, GARDEN CITY, NY 11530-1601
(516) 494-3027
(516) 248-5162
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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