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 Cardiovascular Disease Physician · NPI 1477926384

Icahn School of Medicine at Mount Sinai is a Cardiovascular Disease Physician in Staten Island, New York. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

11 Ralph Pl Ste 109
Staten Island, NY 10304-4401
Phone: (718) 981-3674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1477926384
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMount Sinai Hospital
Authorized official Alicia Gresham — Vp Of Network Operations · (212) 659-9038
Other names Mount Sinai Doctors Ccsi
NPI enumeratedNovember 2, 2015
Last updated in NPPESNovember 2, 2015
Mailing address11 Ralph Pl, Suite 109, Staten Island, NY 10304-4401

Other providers in Staten Island