| NPI | 1295965598 |
|---|---|
| Doing Business As | MOUNT SINAI ELMHURST FACULTY PRACTICE GROUP |
| Entity Type | Organization |
| Authorized Contact | MARLON E. BREWER Director 718-334-2490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0000X Family Medicine Adolescent Medicine | |
| 207QA0401X Family Medicine Addiction Medicine | |
| 207QA0505X Family Medicine Adult Medicine | |
| 207QB0002X Family Medicine Obesity Medicine | |
| 207QG0300X Family Medicine Geriatric Medicine | |
| 207QH0002X Family Medicine Hospice and Palliative Medicine | |
| 207QS0010X Family Medicine Sports Medicine | |
| 207QS1201X Family Medicine Sleep Medicine | |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2012-11-14 |