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Organization

MOUNT SINAI SCHOOL OF MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LOUIS RUSSO M.D. (DIRECTOR FPA)
(212) 241-6228
Entity
Organization

Contact information

Practice address
1 GUSTAVE L LEVY PL, BOX 1200, NEW YORK, NY 10029-6500
(212) 241-6710
(212) 427-4561
Mailing address
1 GUSTAVE L LEVY PL, BOX 1200, NEW YORK, NY 10029-6500
(212) 241-6710
(212) 427-4561

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary

Other

Enumeration date
11/30/2007
Last updated
03/05/2008
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