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Organization

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Active
Other names
MOUNT SINAI CROSS COUNTY CARDIOLOGY
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA GRESHAM (VP NETWORK OPERATIONS)
(212) 659-9038
Entity
Organization

Contact information

Practice address
103 RIVER RD FL 2, EDGEWATER, NJ 07020-1016
(201) 941-8100
(201) 941-2899
Mailing address
103 RIVER RD FL 2, EDGEWATER, NJ 07020-1016
(201) 941-8100
(201) 941-2899

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
207UN0901X
Nuclear Cardiology Physician

Other

Enumeration date
01/17/2020
Last updated
03/23/2023
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