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

Icahn School of Medicine at Mount Sinai

Organization Colon & Rectal Surgery Physician · NPI 1245883891

Icahn School of Medicine at Mount Sinai is a Colon & Rectal Surgery Physician in Garden City, New York. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1100 Franklin Ave Ste 203
Garden City, NY 11530-1601
Phone: (516) 494-3027
Fax: (516) 248-5162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X

Record details

NPI number1245883891
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Gresham — Vp Network Operations · (212) 659-9038
Other names Mount Sinai Doctors South Nassau; Crssny
NPI enumeratedJuly 23, 2019
Last updated in NPPESJuly 23, 2019
Mailing address1100 Franklin Ave Ste 203, Garden City, NY 11530-1601

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