Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
Mount Sinai Elmhurst Faculty Practice Group
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN FINE MD (DIRECTOR)
(718) 334-2061
Entity
Organization
Contact information
Practice address
7901 BROADWAY, ROOM A1-9, ELMHURST, NY 11373-1329
(718) 334-4952
(718) 334-4815
Mailing address
7901 BROADWAY, ROOM A1-9, ELMHURST, NY 11373-1329
(718) 334-4952
(718) 334-4815
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
Other
Enumeration date
07/21/2009
Last updated
08/08/2013
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