Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
Mount Sinai Marathon Medical - Hem / Onc
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 101, MERRICK, NY 11566-4770
(516) 546-5000
Mailing address
2209 MERRICK RD STE 101, MERRICK, NY 11566-4770
(516) 546-5000
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
Other
Enumeration date
10/25/2018
Last updated
01/11/2019
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