Provider Demographics
NPI:1083200695
Name:MOUNT SINAI HOSPITAL
Entity Type:Organization
Organization Name:MOUNT SINAI HOSPITAL
Other - Org Name:MOUNT SINAI SPECIALITY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT 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:ONE GUSTAVE L LEVY PLACE, BOX 6000
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-256-2904
Mailing Address - Fax:212-731-3049
Practice Address - Street 1:1468 MADISON AVE
Practice Address - Street 2:ANNENBERG BUILDING, MC LEVEL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
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:2020-12-17
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy