| NPI | 1356818553 |
|---|---|
| Other Name | MOUNT SINAI MARATHON MEDICAL - GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | ALICIA GRESHAM VP Network Operations 212-659-9038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2019-01-11 |