Healthcare Provider Details

I. General information

NPI: 1528285871
Provider Name (Legal Business Name): MOUNT SINAI SCHOOL OF MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 08/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 EAST 98TH. STREET 12TH. FLOOR
NEW YORK NY
10029-6574
US

IV. Provider business mailing address

1 GUSTAVE LEVY PLACE BOX 3000
NEW YORK NY
10029-6574
US

V. Phone/Fax

Practice location:
  • Phone: 212-659-8072
  • Fax: 212-659-8066
Mailing address:
  • Phone: 212-987-3100
  • Fax: 212-731-5210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN T LEONARD
Title or Position: ASSOCIATE DIRECTOR FINANCE
Credential:
Phone: 212-659-8029