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Organization

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Active
Other names
Mount Sinai Elmhurst Faculty Practice Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIA PILAR GONZALEZ JIMENEZ MD (DIRECTOR, FACULTY PRACTICE GROUP)
(718) 334-1591
Entity
Organization

Contact information

Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-1591
(718) 334-4815
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-1591
(718) 334-4815

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2080A0000X
Pediatric Adolescent Medicine Physician
2080N0001X
Neonatal-Perinatal Medicine Physician
2080P0202X
Pediatric Cardiology Physician
2080P0207X
Pediatric Hematology & Oncology Physician
2080P0210X
Pediatric Nephrology Physician

Other

Enumeration date
10/30/2012
Last updated
05/10/2016
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