Organization · Type 2 NPI

Icahn School of Medicine at Mount Sinai

Pediatric Emergency Medicine (Pediatrics) Physician · Elmhurst, NY

NPI number 1972857944 Active

Practice location

7901 Broadway
Elmhurst, NY 11373-1329

Call (718) 334-1591 Map

Fax (718) 334-4815

Specialties and licenses

TaxonomyCodeLicense
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204XNone listed
Pediatric Critical Care Medicine Physician 2080P0203XNone listed
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204XNone listed

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1972857944

Icahn School of Medicine at Mount Sinai's National Provider Identifier is 1972857944, issued on Oct 30, 2012. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Elmhurst, NY. The record was last updated on May 10, 2016.