Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
MOUNT SINAI SN HOSPITAL PHYSICIANS-RALI PET IDTF
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA GRESHAM (VP NETWORK OPERATIONS)
(212) 659-9038
Entity
Organization
Contact information
Practice address
119 N PARK AVE, ROCKVILLE CENTRE, NY 11570-4113
(516) 255-9555
Mailing address
150 EAST 42ND STREET, 5TH FLOOR, 5.A.30.6, NEW YORK, NY 10017
(646) 605-4113
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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