| NPI | 1437403409 |
|---|---|
| Doing Business As | MOUNT SINAI ELMHURST FACULTY PRACTICE GROUP |
| Entity Type | Organization |
| Authorized Contact | MARIA PILAR GONZALEZ JIMENEZ Director, Faculty Practice Group 718-334-1591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2016-05-10 |