Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Parent organization
MOUNT SINAI SCHOOL OF MEDICINE
Other names
MOUNT SINAI PATHOLOGY ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT SINAI SCHOOL OF MEDICINE
Authorized official
DOUGLAS A JABS M.D., MBA (CHIEF EXECUTIVE OFFICIER)
(212) 241-6228
Entity
Organization
Contact information
Practice address
1428 MADISON AVE, ATRAN 610, NEW YORK, NY 10029-6508
(212) 731-7772
(212) 534-7491
Mailing address
1428 MADISON AVE, ATRAN 610, NEW YORK, NY 10029-6508
(212) 731-7772
(212) 534-7491
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
CLIA 33D1051889
NY
291U00000X
Clinical Medical Laboratory
CLIA 33D1051889
NY
Other
Enumeration date
06/16/2006
Last updated
11/09/2009
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