| NPI | 1104162700 |
|---|---|
| Doing Business As | MOUNT SINAI HOSPITAL BASED PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | EDWARD A PETERSON Authorized Official 646-605-8145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2022-12-09 |