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, RM. A1-19, ELMHURST, NY 11373-1329
(718) 334-4952
(718) 334-4815
Mailing address
7901 BROADWAY, RM. A1-19, ELMHURST, NY 11373-1329
(718) 334-4952
(718) 334-4815
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
2084V0102X
Vascular Neurology Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
10/30/2012
Last updated
05/10/2016
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