Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
Mount Sinai Doctors GNY Anes Serv
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ANN JOLLEY (NATIONAL CREDENTIALING DIRECTOR)
(713) 458-4169
Entity
Organization
Contact information
Practice address
1 GUSTAVE L LEVY PL # 4500, NEW YORK, NY 10029-6504
(407) 667-0444
Mailing address
851 TRAFALGAR CT STE 200E, MAITLAND, FL 32751-7420
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/07/2024
Last updated
09/25/2024
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