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 Hematology (Internal Medicine) Physician · NPI 1740773936

Icahn School of Medicine at Mount Sinai is a Hematology (Internal Medicine) Physician in Staten Island, New York. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3

Practice location Address checks out

1910 Richmond Rd
Staten Island, NY 10306-2552
Phone: (718) 987-9777
Show map & directions

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

Additional practice locations (1)

  • 883 Poole Ave Ste 4, Hazlet, NJ 07730-2040 — (732) 203-9500

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X
Hematology (Internal Medicine) Physician Taxonomy 207RH0000X
Medical Oncology Physician Taxonomy 207RX0202X

Record details

NPI number1740773936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Gresham — Vp Network Operations · (212) 659-9038
Other names Mount Sinai Doctors Si Cancer; Mount Sinai Doctors Si Caner
NPI enumeratedJune 12, 2018
Last updated in NPPESJanuary 17, 2020
Certification dateJanuary 17, 2020
Mailing address1910 Richmond Rd, Staten Island, NY 10306-2552

Other providers in Staten Island