Provider Demographics
NPI:1386026334
Name:MEDICAL SINAI HEALTHCARE PC.
Entity Type:Organization
Organization Name:MEDICAL SINAI HEALTHCARE PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BIJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-812-3937
Mailing Address - Street 1:9 DOCK LN
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11024-1005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6902 AUSTIN ST
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4233
Practice Address - Country:US
Practice Address - Phone:718-812-3937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-26
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty