Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
BEHAVIORAL HEALTH AT MOUNT SINAI DOCTORS SOUTH NASSAU, MOUNT SINAI DOCTORS SOUTH NASSAU - BEHAVIORAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA GRESHAM (VP OF NETWORK OPERATIONS)
(212) 659-9038
Entity
Organization
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(877) 768-8462
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/01/2018
Last updated
06/16/2018
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