Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
PHYSICAL MED & REHAB AT MOUNT SINAI DOCTORS SOUTH NASSAU, MOUNT SINAI DOCTORS SOUTH NASSAU - PHYSICAL MED & REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA GRESHAM (VP OF NETWORK OPERATIONS)
(212) 659-9038
Entity
Organization
Contact information
Practice address
440 MERRICK RD, OCEANSIDE, NY 11572-1404
(516) 255-8200
Mailing address
440 MERRICK RD, OCEANSIDE, NY 11572-1404
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/16/2018
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