| NPI | 1720636483 |
|---|---|
| Other Name | MOUNT SINAI MARATHON MEDICAL - IDTF |
| Entity Type | Organization |
| Authorized Contact | ALICIA GRESHAM VP Network Operations 212-659-9038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |