Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
MOUNT SINAI MARATHON MEDICAL -NEONATES/PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA GRESHAM (VP NETWORK OPERATIONS)
(212) 659-9038
Entity
Organization
Contact information
Practice address
8 N OCEANSIDE RD, ROCKVILLE CENTRE, NY 11570-5125
(516) 632-3670
Mailing address
8 N OCEANSIDE RD, ROCKVILLE CENTRE, NY 11570-5125
(516) 632-3670
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
10/26/2018
Last updated
01/11/2019
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