unt 1 /4 Sinai Original Receipt. Clerk: CAPULA01 MOUNT SINAI HOSPITAL PFS (KEY)-010109001240-AMBULATORY ACCOUNTS PATIENT FINANCIAL SERVICES 160 WATER STREET NY NY 10038 010405804429, NY 10017 PHONE: 212-731-3100 Name: karyna shuliak Card Number: XXXXXXXXXXXX2086• Card Exp Date: XX/XX Card Not Present Tr