Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Icahn School of Medicine at Mount Sinai

Organization Optometrist · NPI 1073867040

Icahn School of Medicine at Mount Sinai is an Optometrist in Elmhurst, New York. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
11
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Practice location Address checks out

7901 Broadway
Elmhurst, NY 11373-1329
Phone: (718) 334-1591
Fax: (718) 334-4815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Optometrist Taxonomy 152W00000X
Otolaryngology Physician Taxonomy 207Y00000X
Pediatric Otolaryngology Physician Taxonomy 207YP0228X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Taxonomy 207YX0007X
Otolaryngology/Facial Plastic Surgery Physician Taxonomy 207YX0905X
Surgical Critical Care Physician Taxonomy 2086S0102X
Pediatric Surgery Physician Taxonomy 2086S0120X
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X
Vascular Surgery Physician Taxonomy 2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X

Record details

NPI number1073867040
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Pilar Gonzalez Jimenez — Director, Faculty Practice Group · (718) 334-1591
Other names Mount Sinai Elmhurst Faculty Practice Group
NPI enumeratedOctober 30, 2012
Last updated in NPPESMay 10, 2016
Mailing address7901 Broadway, Elmhurst, NY 11373-1329

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