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ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NPI 1740773936


NPI Information

NPI: 1740773936
Provider Name: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Doing Business As: MOUNT SINAI DOCTORS SI CANER

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 33D2272608

Address:
1910 RICHMOND RD
STATEN ISLAND, NY
ZIP 10306
Phone: (718) 987-9777
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ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI is a hematology and oncology internal medicine in Staten Island, NY. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NPI is 1740773936. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Mount Sinai Doctors Si Caner.

The provider's business location address is:

1910 RICHMOND RD
STATEN ISLAND, NY
ZIP 10306-552
Phone: (718) 987-9777

The provider's authorized official is Alicia Gresham .
The authorized official title is Vp Network Operations and has the following contact phone number (212) 659-9038.

The CLIA number assigned to this NPI record is 33D2272608 - ancillary testing site in health care center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/12/2018 and was last updated on 1/17/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0000XInternal MedicineHematologyNo
2207RH0003XInternal MedicineHematology & OncologyYes
3207RX0202XInternal MedicineMedical OncologyNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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