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Organization

MOUNT SINAI SCHOOL OF MEDICINE

Active
Other names
Mount Sinai Marathon Medical - Hospitalists
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA GRESHAM (VP 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
(877) 768-8462

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
207R00000X
Internal Medicine Physician
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
208M00000X
Hospitalist Physician
Primary
363L00000X
Nurse Practitioner

Other

Enumeration date
10/26/2018
Last updated
01/11/2019
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