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Organization

MOUNT SINAI SCHOOL OF MEDICINE

Active
Other names
Mount Sinai Marathon Medical - Cardiovascular
Organization subpart
No

Provider details

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

Contact information

Practice address
10 E MERRICK RD STE 207, VALLEY STREAM, NY 11580-5800
(516) 256-2017
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
207RC0001X
Clinical Cardiac Electrophysiology Physician
207RI0011X
Interventional Cardiology Physician
2086S0129X
Vascular Surgery Physician
363L00000X
Nurse Practitioner

Other

Enumeration date
10/24/2018
Last updated
01/11/2019
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