MEDICARE: THE MOUNT SINAI HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	F33138501	NY

General Provider Information

NPI Number	:	1396951794
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MOUNT SINAI HOSPITAL

Provider Business Mailing Address
First Line	:	455 E 86TH ST
Second Line	:	#18D
City	:	NEW YORK
State	:	NY
Zip	:	10028-6400
Country	:	US
Telephone Number	:	646-303-0494
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 GUSTAVE L LEVY PL
Second Line	:	BOX 1144
City	:	NEW YORK
State	:	NY
Zip	:	10029-6500
Country	:	US
Telephone Number	:	212-241-3963
Fax Number	:	212-534-2173

Authorized Official
Title or Position	:	EDUCATION SPECIALIST
Name	:	MS. VIRGINIA MARIE DEFINA
Credential	:	FNP
Telephone Number	:	212-241-7050

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	08/22/2020

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Directions to “THE MOUNT SINAI HOSPITAL ” Practice Location

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