Provider Demographics
NPI:1275952384
Name:MOUNT SINAI QUEENS
Entity Type:Organization
Organization Name:MOUNT SINAI QUEENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR GENERALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUTAFTSIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-808-7716
Mailing Address - Street 1:30-74 31ST STREET,
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102
Mailing Address - Country:US
Mailing Address - Phone:718-790-7028
Mailing Address - Fax:
Practice Address - Street 1:30-74 31ST STREET,
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102
Practice Address - Country:US
Practice Address - Phone:718-790-7028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY23017513282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital