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Organization

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Active
Other names
MOUNT SINAI DOCTORS SOUTH NASSAU - GASTROENTEROLOGY
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA GRESHAM (VP OF NETWORK OPERATIONS)
(212) 659-9038
Entity
Organization

Contact information

Practice address
2965 LONG BEACH RD, OCEANSIDE, NY 11572-3255
(516) 593-8953
Mailing address
2965 LONG BEACH RD, OCEANSIDE, NY 11572-3255

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Enumeration date
07/23/2018
Last updated
07/23/2018
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