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General NPI Number Information
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NPI Number | 1235331497
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Entity Type | Organization
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Legal Business Name | MT. SINAI MEDICAL CENTER
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 1 GUSTAVE L LEVY PL BOX 1165
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City | NEW YORK
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State | NY
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Zip | 10029-6500
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Country | US
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Telephone | 212-241-6633
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Fax | 212-348-1170
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Provider Business Mailing Address
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Address Line | 149 W 85TH ST APT. 5
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City | NEW YORK
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State | NY
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Zip | 10024-4476
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Country | US
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Telephone | 212-799-8066
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | MR. KENNETH A LAROCK
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Credential | NP
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Telephone | 212-241-6633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | F401042
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License Number State | NY
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