Healthcare Provider Details

I. General information

NPI: 1659618064
Provider Name (Legal Business Name): SINAI HOSPITAL OF BALTIMORE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2013
Last Update Date: 01/28/2022
Certification Date: 01/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5051 GREENSPRING AVE
BALTIMORE MD
21209-4354
US

IV. Provider business mailing address

5051 GREENSPRING AVE
BALTIMORE MD
21209-4354
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-7375
  • Fax: 410-601-7828
Mailing address:
  • Phone: 410-601-7375
  • Fax: 410-601-7828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number StateMD

VIII. Authorized Official

Name: CHARLES B EFIRD
Title or Position: DIRECTOR
Credential:
Phone: 410-601-7019