Organization
MOUNT SINAI SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA BRENNESSEL MD (PROGRAM DIRECTOR)
(718) 658-1675
Entity
Organization
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-4080
Mailing address
16410 84TH AVE, APARTMENT 1F, JAMAICA, NY 11432-1826
(718) 658-1675
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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