Provider Demographics
NPI:1922319771
Name:MOUNT SINAI MEDICAL CENTER
Entity Type:Organization
Organization Name:MOUNT SINAI MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRITICAL CARE MEDICINE FELLOW
Authorized Official - Prefix:DR
Authorized Official - First Name:BLANCHE
Authorized Official - Middle Name:MEREDITH
Authorized Official - Last Name:TELESFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-319-7704
Mailing Address - Street 1:526B SEAVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-3402
Mailing Address - Country:US
Mailing Address - Phone:718-351-7833
Mailing Address - Fax:718-351-7833
Practice Address - Street 1:526B SEAVIEW AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-3402
Practice Address - Country:US
Practice Address - Phone:718-351-7833
Practice Address - Fax:718-351-7833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-27
Last Update Date:2010-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access