North Shore Medical Group of the Mount Sinai School of Medicine

NPI #1669854824 in Hewlett, New York

Provider Information

NPI Number
1669854824
Entity Type
Organization
Organization Name
North Shore Medical Group of the Mount Sinai School of Medicine
Subpart
Yes (part of a larger organization)
Parent Organization
MOUNT SINAI MEDICAL CENTER
Primary Specialty
Family Medicine
Enumeration Date
Jun 24, 2015
Last Updated
Jun 24, 2015

Practice Location

Address
1436 BROADWAY
ZIP Code
11557-1405
Phone
(929) 210-6570

Authorized Official

Name
MS. ALICIA GRESHAM
Title
VP NETWORK OPERATIONS
Phone
(212) 659-9038

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Pediatrics - Adolescent MedicineAdolescent Medicine
Family Medicine

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