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Organization

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Active
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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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