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MOUNT SINAI SCHOOL OF MEDICINE

Clinical Neuropsychologist

New York, New York

Provider NPI: 1528087541

Organization Information:
Organization Name:  MOUNT SINAI SCHOOL OF MEDICINE
Organization is not Subpart
Authorized Official:  FREDA  BURSTYN  ADMINISTRATOR  212-6599367

Practice Location:
5 E 98TH ST BOX1240B- 6TH FLOOR NEW YORK, NY 10029 US
Tel: 212-241-9469  Fax: 212-369-6389

Business Mailing Address:
5 E 98TH ST BOX1240B- 6TH FLOOR NEW YORK, NY 10029 US
Tel: 212-241-9469  Fax: 212-369-6389

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE PINWZZVP1NY01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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