| Mount Sinai Elmhurst Faculty Practice Group | |
|
7901 Broadway Elmhurst NY 11373-1329 | |
| (718) 334-1591 | |
| (718) 334-4815 |
| Full Name | Mount Sinai Elmhurst Faculty Practice Group |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 7901 Broadway, Elmhurst, New York |
| Authorized Official Name and Position | Maria Pilar Gonzalez Jimenez (DIRECTOR, FACULTY PRACTICE GROUP) |
| Authorized Official Contact | 7183341591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Sinai Elmhurst Faculty Practice Group 7901 Broadway Elmhurst NY 11373-1329 Ph: (718) 334-1591 | Mount Sinai Elmhurst Faculty Practice Group 7901 Broadway Elmhurst NY 11373-1329 Ph: (718) 334-1591 |
| NPI Number | 1437403409 |
|---|---|
| Provider Enumeration Date | 10/30/2012 |
| Last Update Date | 05/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437403409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Primary |
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