Organization · Type 2 NPI

Icahn School of Medicine at Mount Sinai

Behavioral Neurology & Neuropsychiatry Physician · New York, NY

NPI number 1013489426 Active

Practice location

11 Madison Ave # LEVEL1B
New York, NY 10010-3643

Call (646) 899-5975 Map

Mailing address

150 E 42nd St Fl 10
New York, NY 10017-5626

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	None listed
Behavioral Neurology & Neuropsychiatry Physician Primary	2084B0040X	None listed

Behavioral Neurology & Neuropsychiatry Physician: Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

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NPI record

NPI: 1013489426
Entity type: Organization (Type 2)
Issued: Dec 24, 2018
Last updated: Jan 14, 2020
Status: Active

Other names

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Mount Sinai Solutions Behavioral Health · doing business as
Mount Sinai Solutions Behavioral Health · doing business as

Authorized official

Mr. Edward Peterson
Senior Director Cbo
(646) 605-8145

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About NPI 1013489426

Icahn School of Medicine at Mount Sinai's National Provider Identifier is 1013489426, issued on Dec 24, 2018. The primary taxonomy on file is Behavioral Neurology & Neuropsychiatry Physician (2084B0040X), and the practice location is in New York, NY. The record was last updated on Jan 14, 2020.