Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
Geriatric Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA A BLOOM MD (ASSOCIATE CLINICAL PROFESSOR GUIATI)
(212) 241-5561
Entity
Organization
Contact information
Practice address
1440 MADISON AVE, NEW YORK, NY 10029-6542
(212) 658-8552
Mailing address
ONE GUSTAVE L LEVY PLACE, BOX 1070, NEW YORK, NY 10029
(212) 241-5561
(212) 860-9737
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01342378
—
NY
Enumeration date
03/29/2006
Last updated
03/04/2010
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