Provider Demographics
NPI:1225045958
Name:FACTOR, STEPHANIE H (MD)
Entity Type:Individual
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First Name:STEPHANIE
Middle Name:H
Last Name:FACTOR
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1 GUSTAVE L LEVY PLACE
Mailing Address - Street 2:BOX 3000 MOUNT SINAI DEPARTMENT OF MEDICINE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-987-3100
Mailing Address - Fax:212-731-5210
Practice Address - Street 1:1468 MADISON AVENUE
Practice Address - Street 2:ANNENBERG B-1 MT SINAI HOSP JACK MARTIN FUND CLINIC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-241-6150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY201250207RM1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RM1200XAllopathic & Osteopathic PhysiciansInternal MedicineMagnetic Resonance Imaging (MRI)