NPI 1245883891

Icahn School of Medicine at Mount Sinai

Organisation Colon & Rectal Surgery Physician Garden City, NY

Practice location

Address: 1100 Franklin Ave STE 203, Garden City, NY 11530-1601
Phone: (516) 494-3027
Fax: (516) 248-5162

Authorised official

Name: Alicia Gresham
Title: Vp Network Operations
Phone: (212) 659-9038

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X

Other Colon & Rectal Surgery providers in New York →

Registry record

NPI: 1245883891
Entity type: Organization
NPI issued: 23 Jul 2019
Record last updated: 23 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.