Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Parent organization
MOUNT SINAI HOSPITAL
Other names
MOUNT SINAI DOCTORS LIHA
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
200 OLD COUNTRY RD, SUITE 278, MINEOLA, NY 11501-4235
(516) 877-0977
(516) 294-6861
Mailing address
200 OLD COUNTRY RD, SUITE 278, MINEOLA, NY 11501-4235
(516) 877-0977
(516) 294-6861
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RN0300X
Nephrology Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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