Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) |
| NPI Number | 1437403409 |
| LBN Legal business name | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
| Authorized official | MARIA PILAR GONZALEZ JIMENEZ - (DIRECTOR, FACULTY PRACTICE GROUP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/30/2012 |
| Last updated | 05/10/2016 - About 10 years ago |
| Identifiers | n/a |
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ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
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