Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
MOUNT SINAI SN HOSPITAL PHYSICIANS-RAD ONC
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA GRESHAM (VP NETWORK OPERATIONS)
(212) 659-9038
Entity
Organization
Contact information
Practice address
485 MERRICK RD, ROCKVILLE CENTRE, NY 11570-5436
(516) 255-9555
Mailing address
150 EAST 42ND STREET, 5TH FLOOR, 5.A.30.6, NEW YORK, NY 10017
(646) 605-4113
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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