Provider Demographics
NPI:1932111556
Name:MOUNT SINAI-IRVING J SELIKOFF CENTER FOR OCCUPATIONAL & ENVIRONMENTAL
Entity Type:Organization
Organization Name:MOUNT SINAI-IRVING J SELIKOFF CENTER FOR OCCUPATIONAL & ENVIRONMENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPARTMENT CHAIR
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDRIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-241-4802
Mailing Address - Street 1:345 E 102ND ST
Mailing Address - Street 2:SUITE 215
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-5611
Mailing Address - Country:US
Mailing Address - Phone:212-241-6336
Mailing Address - Fax:
Practice Address - Street 1:345 E 102ND ST
Practice Address - Street 2:SUITE 215
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-5611
Practice Address - Country:US
Practice Address - Phone:212-241-6336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherTAX ID