Basic Information
| Provider Information | |||||||||
| NPI: | 1528519014 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THE MOUNT SINAI HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 116 JOHN ST | ||||||||
| Address2: | 1112 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100383305 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1468 MADISON AVE | ||||||||
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| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100296508 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122416500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2016 | ||||||||
| LastUpdateDate: | 10/19/2016 | ||||||||
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| AuthorizedOfficialLastName: | O'DEA | ||||||||
| AuthorizedOfficialFirstName: | DENISE | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR OF APNS | ||||||||
| AuthorizedOfficialTelephone: | 2122416756 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 431052 | NY | Y | Hospitals | General Acute Care Hospital |
No ID Information.