Basic Information
Provider Information
NPI: 1154626364
EntityType: 2
ReplacementNPI:  
OrganizationName: MOUNT SINAI HOSPITAL
LastName:  
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Mailing Information
Address1: 322 E 74TH ST APT 2D
Address2:  
City: NEW YORK
State: NY
PostalCode: 100213742
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1 GUSTAVE L LEVY PL
Address2:  
City: NEW YORK
State: NY
PostalCode: 100296500
CountryCode: US
TelephoneNumber: 2122416500
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/19/2011
LastUpdateDate: 01/19/2011
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: SCHROPPEL
AuthorizedOfficialFirstName: BERND
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AuthorizedOfficialTitleorPosition: MEDICAL DIRECTOR
AuthorizedOfficialTelephone: 2126598086
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X013251NYY HospitalsGeneral Acute Care Hospital 

No ID Information.


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