Provider Demographics
NPI:1437570777
Name:ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Entity Type:Organization
Organization Name:ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Other - Org Name:MT SINAI ASSOCIATES IN INTERNAL MED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-210-6424
Mailing Address - Street 1:241 E 86TH ST
Mailing Address - Street 2:2D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-3622
Mailing Address - Country:US
Mailing Address - Phone:212-426-0190
Mailing Address - Fax:212-426-0196
Practice Address - Street 1:241 E 86TH ST
Practice Address - Street 2:2D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-3622
Practice Address - Country:US
Practice Address - Phone:212-426-0190
Practice Address - Fax:212-426-0196
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOUNT SINAI HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-03
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty