Provider Demographics
NPI:1043474125
Name:MOUNT SINAI MEDICAL CENTER SURGICAL ONCOLOGY, LLC
Entity Type:Organization
Organization Name:MOUNT SINAI MEDICAL CENTER SURGICAL ONCOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SONENREICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-695-2121
Mailing Address - Street 1:4300 ALTON RD
Mailing Address - Street 2:ASCHER BLDG 2ND FLOOR
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2800
Mailing Address - Country:US
Mailing Address - Phone:305-674-2121
Mailing Address - Fax:305-535-7919
Practice Address - Street 1:4306 ALTON RD FL 2
Practice Address - Street 2:COMPREHENSIVE CANCER CENTER
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2840
Practice Address - Country:US
Practice Address - Phone:305-674-2397
Practice Address - Fax:305-674-2863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Single Specialty