OrganizationIcahn School Of Medicine At Mount SinaiInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address17 E 102nd St, 7th Floor, New York, NY 10029-5204(212) 659-8551PECOS EnrollmentBased on the most recent information from CMS, provider Icahn School Of Medicine At Mount Sinai does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1457767022Provider TypeOrganizationFull NameIcahn School Of Medicine At Mount SinaiSubpartNoEnumeration Date7/3/2014Last Updated7/3/2014Contact InformationPractice LocationPractice Address17 E 102nd St, 7th Floor, New York, NY 10029-5204Phone(212) 659-8551FaxUnlisted FaxMailing LocationMailing Address17 E 102nd St, 7th Floor, New York, NY 10029-5204PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameWhipple, Clare H (Clinical Instructor)Phone(212) 659-8551Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense271981New York