Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
Mount Sinai Elmhurst Faculty Practice Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA GONZALEZ JIMENEZ MD (DIRECTOR, FACULTY PRACTICE GROUP)
(718) 334-1591
Entity
Organization
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-1591
(718) 334-4815
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-1591
(718) 334-4815
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
Other
Enumeration date
10/30/2012
Last updated
05/10/2016
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