Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Icahn School of Medicine at Mount Sinai

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1104162700

Icahn School of Medicine at Mount Sinai is an Anatomic Pathology & Clinical Pathology Physician in New York, New York. Works from 2 locations. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone: (212) 241-6500
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Additional practice locations (1)

  • 5 E 98th St Fl 6, New York, NY 10029-6501 — (212) 241-5643

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1104162700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Peterson — Authorized Official · (646) 605-8145
Other names Mount Sinai Hospital Based Providers
NPI enumeratedDecember 31, 2012
Last updated in NPPESDecember 9, 2022
Certification dateDecember 9, 2022
Mailing address150 E 42nd St Fl 2, New York, NY 10017-5612

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