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Organization

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Active
Other names
Mount Sinai School of Medicine, Mount Sinai Elmhurst Faculty Practice Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARTIN J FINE 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
207V00000X
Obstetrics & Gynecology Physician
Primary
207VE0102X
Reproductive Endocrinology Physician
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
207VM0101X
Maternal & Fetal Medicine Physician
207VX0201X
Gynecologic Oncology Physician
208100000X
Physical Medicine & Rehabilitation Physician

Other

Enumeration date
10/30/2012
Last updated
02/19/2019
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