Organization
DENTAL DEPARTMENT OF MOUNT SINAI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUDY FINELLI (PRODUCTION MANAGER)
(212) 731-7650
Entity
Organization
Contact information
Practice address
1468 MADISON AVE, ANNENBERG BLD 2ND FL, NEW YORK, NY 10029-6508
(212) 241-0300
Mailing address
PO BOX 28082, NEW YORK, NY 10087-8082
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
035385
NY
122300000X
Dentist
Primary
041723
NY
122300000X
Dentist
055196
NY
122300000X
Dentist
055649
NY
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
027392
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
033704
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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