Organization · Type 2 NPI

Icahn School of Medicine at Mount Sinai

Diagnostic Radiology Physician · Oceanside, NY

NPI number 1548752504 Active

Practice location

185 Merrick Rd
Oceanside, NY 11572-1431

Call (516) 766-6550 Map

Other practice locations

1 Healthy Way, Oceanside, NY 11572-1551 · (516) 766-6550
440 Merrick Rd, Oceanside, NY 11572-1404 · (516) 766-6550

Specialties and licenses

Taxonomy	Code	License
Diagnostic Radiology Physician Primary	2085R0202X	None listed
Vascular & Interventional Radiology Physician	2085R0204X	None listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

4 other providers at this address

Other diagnostic radiology physician providers in Oceanside

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NPI record

NPI: 1548752504
Entity type: Organization (Type 2)
Issued: Jun 5, 2018
Last updated: Jun 16, 2018
Status: Active

Other names

<unavail>
Mount Sinai Doctors South Nassau-Radiology · other name
Mount Sinai Doctors South Nassau-Radiology · other name
Radiology at Mount Sinai Doctors South Nassau · other name

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 1548752504

Icahn School of Medicine at Mount Sinai's National Provider Identifier is 1548752504, issued on Jun 5, 2018. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Oceanside, NY. The record was last updated on Jun 16, 2018.