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 Internal Medicine Physician · NPI 1447640024

Icahn School of Medicine at Mount Sinai is an Internal Medicine Physician in Staten Island, New York. Works from 2 locations. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

2315 Victory Blvd
Staten Island, NY 10314-6623
Phone: (718) 477-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4982 Hylan Blvd, Staten Island, NY 10312-6399 — (718) 477-6900

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1447640024
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMount Sinai Hospital
Authorized official Alicia Gresham — Vp Network Operations · (212) 659-9038
Other names Mt Sinai Doctors Si-Victory Int Med; Mt Sinai Doctors Si-Victory Int Med
NPI enumeratedFebruary 3, 2015
Last updated in NPPESJanuary 17, 2020
Certification dateJanuary 17, 2020
Mailing address2315 Victory Blvd, Staten Island, NY 10314-6623

Other providers in Staten Island