Healthcare Provider Details

I. General information

NPI: 1366672933
Provider Name (Legal Business Name): MOUNT SINAI MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2009
Last Update Date: 08/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 E 98TH ST 5TH FLOOR
NEW YORK NY
10029-6501
US

IV. Provider business mailing address

5 E 98TH ST 5TH FLOOR
NEW YORK NY
10029-6501
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-3288
  • Fax:
Mailing address:
  • Phone: 212-241-3288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: AMYLYNNE FRANKEL
Title or Position: DERM FELLOW
Credential: M.D.
Phone: 401-465-0262