Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
Mount Sinai Elmhurst Faculty Practice Group
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE HOGAN (ADMINISTRATOR)
(718) 334-4952
Entity
Organization
Contact information
Practice address
7901 BROADWAY RM A1-19, ELMHURST, NY 11373-1329
(718) 334-4816
Mailing address
7901 BROADWAY RM A1-19, ELMHURST, NY 11373-1329
(718) 334-4816
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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