MEDICARE: EFSEVIA ALBANIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	202211	NY

General Provider Information

NPI Number	:	1346268174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EFSEVIA ALBANIS MD

Provider Business Mailing Address
First Line	:	1 GUSTAVE L LEVY PLACE BOX 3000
Second Line	:	MOUNT SINAI DEPARTMENT OF MEDICINE
City	:	NEW YORK
State	:	NY
Zip	:	10029
Country	:	US
Telephone Number	:	212-987-3100
Fax Number	:	212-731-5210

Provider Business Practice Location Address
First Line	:	5 EAST 98TH STREET BOX 1118
Second Line	:	MOUNT SINAI HOSPITAL LIVER DISEASES
City	:	NEW YORK
State	:	NY
Zip	:	10029
Country	:	US
Telephone Number	:	212-241-0034
Fax Number	:	212-289-7738

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	07/08/2007

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