Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Parent organization
MOUNT SINAI HOSPITAL
Other names
MOUNT SINAI DOCTORS CCSI
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT SINAI HOSPITAL
Authorized official
ALICIA GRESHAM (VP OF NETWORK OPERATIONS)
(212) 659-9038
Entity
Organization
Contact information
Practice address
11 RALPH PL, SUITE 109, STATEN ISLAND, NY 10304-4401
(718) 981-3674
Mailing address
11 RALPH PL, SUITE 109, STATEN ISLAND, NY 10304-4401
(718) 981-3674
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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