Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
DOM Queens Practices Associates
Organization subpart
No
Provider details
NPI number
Authorized official
YUSEF COLLINS (CREDENTIALING COORDINATOR)
(212) 241-0896
Entity
Organization
Contact information
Practice address
143 - 05 HILLSIDE AVENUE, JAMAICA, NY 11435
(718) 297-0440
Mailing address
1 GUSTAVE LEVY PLACE BOX 3000, NEW YORK, NY 10029
(212) 987-3100
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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