Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS RUSSO M.D. (DIRECTOR FPA)
(212) 241-6228
Entity
Organization
Contact information
Practice address
5 E 98TH ST, 12TH FLOOR, NEW YORK, NY 10029-6501
(212) 659-8060
Mailing address
1 GUSTAVE L LEVY PL, BOX 1200, NEW YORK, NY 10029-6500
(212) 659-8060
Taxonomy
Speciality
Code
Description
License number
State
2080T0004X
Pediatric Transplant Hepatology Physician
Primary
204705
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01365306
—
NY
Enumeration date
06/11/2009
Last updated
06/11/2009
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