NPI 1407470453

Icahn School of Medicine at Mount Sinai

Organisation Physiological Laboratory Rockville Centre, NY

Practice location

Address: 119 N Park Ave, Rockville Centre, NY 11570-4113
Phone: (516) 255-9555
Mailing address: 150 East 42nd Street 5th Floor, 5.A.30.6, New York, NY 10017

Authorised official

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

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in New York →

Registry record

NPI: 1407470453
Entity type: Organization
NPI issued: 5 Jun 2020
Record last updated: 5 Jun 2020

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.