Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
Mount Sinai Doctors SI Caner, MOUNT SINAI DOCTORS SI CANCER
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA GRESHAM (VP NETWORK OPERATIONS)
(212) 659-9038
Entity
Organization
Contact information
Practice address
1910 RICHMOND RD, STATEN ISLAND, NY 10306-2552
(718) 987-9777
Mailing address
1910 RICHMOND RD, STATEN ISLAND, NY 10306-2552
(718) 987-1430
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
Other
Enumeration date
06/12/2018
Last updated
01/17/2020
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