| Mount Sinai Elmhurst Faculty Practice Group | |
|
7901 Broadway Room A1-9 Elmhurst NY 11373-1329 | |
| (718) 334-4952 | |
| (718) 334-4815 |
| Full Name | Mount Sinai Elmhurst Faculty Practice Group |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 7901 Broadway, Elmhurst, New York |
| Authorized Official Name and Position | Marlon E. Brewer (DIRECTOR) |
| Authorized Official Contact | 7183342490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Sinai Elmhurst Faculty Practice Group 7901 Broadway Room A1-9 Elmhurst NY 11373-1329 Ph: (718) 334-4952 | Mount Sinai Elmhurst Faculty Practice Group 7901 Broadway Room A1-9 Elmhurst NY 11373-1329 Ph: (718) 334-4952 |
| NPI Number | 1477783777 |
|---|---|
| Provider Enumeration Date | 07/21/2009 |
| Last Update Date | 07/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477783777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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