Provider Demographics
NPI:1265870190
Name:ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Entity type:Organization
Organization Name:ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR IBD CENTER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN-FREDERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:COLOMBEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-659-9697
Mailing Address - Street 1:BOX 1069
Mailing Address - Street 2:ONE GUSTAVE L. LEVY PLACE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6574
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ONE GUSTAVE L. LEVY PLACE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6574
Practice Address - Country:US
Practice Address - Phone:212-241-4299
Practice Address - Fax:212-849-2574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY270631284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital