Organization
MOUNT SINAI HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J TAMBORINO PA (PHYSICIAN ASSISTANT)
(516) 592-2912
Entity
Organization
Contact information
Practice address
355 BROADWAY, MASSAPEQUA PARK, NY 11762-1642
(516) 592-2912
Mailing address
355 BROADWAY, MASSAPEQUA PARK, NY 11762-1642
(516) 592-2912
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
018951
NY
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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