Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
Mount Sinai Elmhurst Faculty Practice Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN FINE MD (DIRECTOR)
(718) 334-2061
Entity
Organization
Contact information
Practice address
7901 BROADWAY, ROOM A1-19, ELMHURST, NY 11373-1329
(718) 334-4952
(718) 334-4815
Mailing address
7901 BROADWAY, ROOM A1-19, ELMHURST, NY 11373-1329
(718) 334-4952
(718) 334-4815
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/21/2009
Last updated
08/27/2013
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