Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
Neuropysh 857
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FREDA BURSTYN (ADMINISTRATOR)
(212) 659-9367
Entity
Organization
Contact information
Practice address
5 E 98TH ST, BOX1240B- 6TH FLOOR, NEW YORK, NY 10029-6501
(212) 241-9469
(212) 369-6389
Mailing address
5 E 98TH ST, BOX1240B- 6TH FLOOR, NEW YORK, NY 10029-6501
(212) 241-9469
(212) 369-6389
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WZZVP1
MEDICARE PIN
NY
Enumeration date
07/19/2006
Last updated
04/20/2008
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