Organization
MOUNT SINAI PEDIATRIC LIVER DISEASES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS RUSSO M.D. (DIRECTOR / FPA)
(212) 241-6228
Entity
Organization
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1200, NEW YORK, NY 10029-6500
(212) 241-8073
(212) 427-1951
Mailing address
1 GUSTAVE L LEVY PL, BOX 1200, NEW YORK, NY 10029-6500
(212) 241-8073
(212) 427-1951
Taxonomy
Speciality
Code
Description
License number
State
2080T0004X
Pediatric Transplant Hepatology Physician
Primary
—
—
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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