Organization · Type 2 NPI

Icahn School of Medicine at Mount Sinai

Cardiovascular Disease Physician · Staten Island, NY

NPI number 1477926384 Active

Practice location

11 Ralph Pl, Suite 109
Staten Island, NY 10304-4401

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

55 other providers at this address

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NPI record

NPI: 1477926384
Entity type: Organization (Type 2)
Issued: Nov 2, 2015
Last updated: Nov 2, 2015
Status: Active
Subpart: Yes of Mount Sinai Hospital

Other names

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Mount Sinai Doctors Ccsi · doing business as

Authorized official

Alicia Gresham
VP of Network Operations
(212) 659-9038

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1477926384

Icahn School of Medicine at Mount Sinai's National Provider Identifier is 1477926384, issued on Nov 2, 2015. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Staten Island, NY. The record was last updated on Nov 2, 2015.