Provider Demographics
NPI:1235514548
Name:MOUNT SINAI
Entity Type:Organization
Organization Name:MOUNT SINAI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALIEN PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHOAIB
Authorized Official - Middle Name:ZAHOOR
Authorized Official - Last Name:JUNEJO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-422-4189
Mailing Address - Street 1:8309 94TH ST
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-1716
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8268 164TH ST
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-1121
Practice Address - Country:US
Practice Address - Phone:718-883-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY390200000XOtherHOSPITAL
NY=========OtherMOUNT SINAI