Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
Mount Sinai Marathon Medical - Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA GRESHAM (VP NETWORK OPERATIONS)
(212) 659-9038
Entity
Organization
Contact information
Practice address
2209 MERRICK RD STE 100, MERRICK, NY 11566-4770
(516) 546-5000
Mailing address
2209 MERRICK RD STE 100, MERRICK, NY 11566-4770
(516) 546-5000
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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