Provider Demographics
NPI:1548655178
Name:NEW YORK EYE AND EAR INFIRMARY OF MOUNT SINAI
Entity type:Organization
Organization Name:NEW YORK EYE AND EAR INFIRMARY OF MOUNT SINAI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIR, DEPT OF OTOLARYNGOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:WANNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-979-4300
Mailing Address - Street 1:310 EAST 14TH STREET
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:212-979-4200
Mailing Address - Fax:212-979-4315
Practice Address - Street 1:310 EAST 14TH STREET
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-979-4200
Practice Address - Fax:212-979-4315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty