| NPI | 1841767993 |
|---|---|
| Other Name | MOUNT SINAI MARATHON MEDICAL - OB/GYN |
| Entity Type | Organization |
| Authorized Contact | ALICIA GRESHAM VP Network Operations 212-659-9038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2019-01-11 |