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 Physiological Laboratory · NPI 1407470453

Icahn School of Medicine at Mount Sinai is a Physiological Laboratory in Rockville Centre, New York. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

119 N Park Ave
Rockville Centre, NY 11570-4113
Phone: (516) 255-9555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physiological Laboratory (primary) Taxonomy 293D00000X

Record details

NPI number1407470453
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Gresham — Vp Network Operations · (212) 659-9038
Other names Mount Sinai Sn Hospital Physicians-Rali Pet Idtf
NPI enumeratedJune 5, 2020
Last updated in NPPESJune 5, 2020
Certification dateJune 5, 2020
Mailing address150 East 42nd Street, 5th Floor, 5.A.30.6, New York, NY 10017

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