Mount Sinai School Of Medicine
Physiological Laboratory in Rockville Centre, NY. Organization (NPI-2).
NPI number1164070827
StatusActive
Last updated in NPPESAug 27, 2019
Details
- NPI
- 1164070827
- Entity type
- Organization (NPI-2)
- Legal business name
- Mount Sinai School Of Medicine
- Organization subpart
- No
- Enumeration date
- Aug 27, 2019
- Last updated
- Aug 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | – | – | Yes |
Other names
- Mount Sinai Marathon Medical - Idtf (Other Name)
Practice location
119 N Park AveRockville Centre, NY 11570-4113
Phone 516-255-9555
Mailing address
119 N Park AveRockville Centre, NY 11570-4113
Authorized official
Alicia Gresham
Vp Network Operations
2126599038
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