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Organization

FACULTY PRACTICE ASSOCIATES MOUNT SINAI SCHOOL OF MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS A. JABS M.D., M.B.A. (CHIEF EXECUTIVE OFFICER)
(212) 241-6752
Entity
Organization

Contact information

Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6500
(212) 731-7895
(212) 731-6788
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6500
(212) 731-7895
(212) 731-6788

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
207L00000X
Anesthesiology Physician
207N00000X
Dermatology Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207U00000X
Nuclear Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
207W00000X
Ophthalmology Physician
207X00000X
Orthopaedic Surgery Physician
207Y00000X
Otolaryngology Physician
208000000X
Pediatrics Physician
208100000X
Physical Medicine & Rehabilitation Physician
208600000X
Surgery Physician
208D00000X
General Practice Physician
Primary
208M00000X
Hospitalist Physician

Other

Enumeration date
11/04/2011
Last updated
11/07/2011
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