Organization
ORAL SURGERY, MT. SINAI SCHOOL OF MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHALEEN GRANT MHSA (ADMINISTRATIVE DIRECTOR)
(212) 241-0806
Entity
Organization
Contact information
Practice address
1 GUSTAVE L. LEVY PLACE, BOX 1187, NEW YORK, NY 11209
(212) 241-0300
(212) 996-9793
Mailing address
1 GUSTAVE L. LEVY PLACE, BOX 1187, NEW YORK, NY 11209
(212) 241-0300
(212) 996-9793
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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