Provider Demographics
NPI:1043699218
Name:MT. SINAI ELMHURST HOSPITAL
Entity Type:Organization
Organization Name:MT. SINAI ELMHURST HOSPITAL
Other - Org Name:MOUNT SINAI SCHOOL OF MEDICINE
Other - Org Type:Other Name
Authorized Official - Title/Position:HOUSE STAFF
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALEX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-707-2347
Mailing Address - Street 1:2 SIMPSON PL
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-1214
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 SIMPSON PL
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-1214
Practice Address - Country:US
Practice Address - Phone:914-707-2347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-21
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital