| Icahn School Of Medicine At Mount Sinai | |
|
1 Gustave L Levy Pl New York NY 10029-6574 | |
| (212) 987-3100 | |
| (212) 731-5520 |
| Full Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Gustave L Levy Pl, New York, New York |
| Authorized Official Name and Position | Crystal Macneill (CBO DIRECTOR, VICE PRESIDENT) |
| Authorized Official Contact | 6466058112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Icahn School Of Medicine At Mount Sinai Po Box 28082 New York NY 10087-8082 Ph: (212) 987-3100 | Icahn School Of Medicine At Mount Sinai 1 Gustave L Levy Pl New York NY 10029-6574 Ph: (212) 987-3100 |
| NPI Number | 1033471305 |
|---|---|
| Provider Enumeration Date | 06/13/2012 |
| Last Update Date | 06/24/2015 |
| Medicare PECOS PAC ID | 2264691070 |
|---|---|
| Medicare Enrollment ID | O20121117000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033471305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Scott Laurence Friedman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184656209 PECOS PAC ID: 4688661895 Enrollment ID: I20040429000250 |
| Provider Name | Meena Bansal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962432476 PECOS PAC ID: 5698738789 Enrollment ID: I20041109001236 |
| Provider Name | Douglas Dieterich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225056070 PECOS PAC ID: 0749388171 Enrollment ID: I20070608000486 |
| Provider Name | Ponni Perumalswami |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083818876 PECOS PAC ID: 9032260203 Enrollment ID: I20090629000359 |
| Provider Name | Pruthvi Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649438441 PECOS PAC ID: 6901070671 Enrollment ID: I20111115000007 |
| Provider Name | Ritu Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942448345 PECOS PAC ID: 0547417362 Enrollment ID: I20120830000450 |
| Provider Name | Linda W Law |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235390832 PECOS PAC ID: 1052486966 Enrollment ID: I20131017001503 |
| Provider Name | Amon Asgharpour |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720221278 PECOS PAC ID: 9830330299 Enrollment ID: I20170724002354 |
| Provider Name | Behnam Saberi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740503598 PECOS PAC ID: 3971738279 Enrollment ID: I20170726001625 |
| Provider Name | Tatyana Kushner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336463082 PECOS PAC ID: 0648563866 Enrollment ID: I20170905000101 |
| Provider Name | Alyson Leigh Harty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285253518 PECOS PAC ID: 8921422205 Enrollment ID: I20200720002041 |
| Provider Name | Augusto Villanueva Rodriguez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447888318 PECOS PAC ID: 4284045063 Enrollment ID: I20201130002067 |
| Provider Name | Rebecca Roediger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790102747 PECOS PAC ID: 4284059577 Enrollment ID: I20210714000553 |
| Provider Name | Frances Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417450206 PECOS PAC ID: 8729330261 Enrollment ID: I20240723002725 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
Debra Green, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 510, New York, NY 10022 Phone: 212-584-5402 Fax: 212-744-4072 | |
S. Nadesan Physician, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a East 15th Street, New York, NY 10003 Phone: 212-420-6460 Fax: 646-602-1091 | |
Avraham Y Henoch Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 | |
Upper West Side Family Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 | |
Jeffrey Glick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278 | |
Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |