Healthcare Provider Details

I. General information

NPI: 1669440327
Provider Name (Legal Business Name): MOUNT SINAI HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 05/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GUSTAVE L LEVY PL BOX 6000
NEW YORK NY
10029-6500
US

IV. Provider business mailing address

1 GUSTAVE L LEVY PL BOX 6000
NEW YORK NY
10029-6500
US

V. Phone/Fax

Practice location:
  • Phone: 212-256-2904
  • Fax: 212-731-3049
Mailing address:
  • Phone: 212-256-2904
  • Fax: 212-731-3049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: DON SCANLON
Title or Position: CFO
Credential:
Phone: 212-256-2904