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 Internal Medicine Physician · NPI 1255882734

Icahn School of Medicine at Mount Sinai is an Internal Medicine Physician in Staten Island, New York. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

129 Slosson Ave
Staten Island, NY 10314-2522
Phone: (718) 720-5928
Fax: (718) 720-6706
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1255882734
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMount Sinai Hospital
Authorized official Alicia Gresham — Vp Of Network Operations · (212) 659-9038
Other names Mt Sinai Doctors Staten Island Gi
NPI enumeratedOctober 19, 2016
Last updated in NPPESOctober 19, 2016
Mailing address129 Slosson Ave, Staten Island, NY 10314-2522

Other providers in Staten Island