Provider Demographics
NPI:1033206362
Name:MOUNT SINAI HOSPITAL
Entity Type:Organization
Organization Name:MOUNT SINAI HOSPITAL
Other - Org Name:MOUNT SINAI OUT REACH PROGRAM
Other - Org Type:Other Name
Authorized Official - Title/Position:VP PFS
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBANESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-256-2904
Mailing Address - Street 1:1 GUSTAVE L LEVY PL, BOX 6000
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6574
Mailing Address - Country:US
Mailing Address - Phone:212-256-2904
Mailing Address - Fax:212-731-3049
Practice Address - Street 1:1 GUSTAVE L LEVY PL
Practice Address - Street 2:BOX 6000
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6574
Practice Address - Country:US
Practice Address - Phone:212-256-2904
Practice Address - Fax:212-731-3049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00243509Medicaid
NY00243509Medicaid