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Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
MS NYEE Otolaryngology
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL MACNEILL (VICE PRESIDENT, CBO DIRECTOR)
(646) 605-8112
Entity
Organization
Contact information
Practice address
310 E 14TH ST, 6 FL NORTH, NEW YORK, NY 10003-4201
(212) 979-4200
Mailing address
310 E 14TH ST, 6TH FLOOR, NEW YORK, NY 10003-4201
(212) 353-5776
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
NULL
207Y00000X
Otolaryngology Physician
—
—
207YP0228X
Pediatric Otolaryngology Physician
—
NULL
207YP0228X
Pediatric Otolaryngology Physician
—
—
207YS0123X
Facial Plastic Surgery Physician
—
NULL
207YS0123X
Facial Plastic Surgery Physician
—
—
207YX0901X
Otology & Neurotology Physician
—
NULL
207YX0901X
Otology & Neurotology Physician
—
—
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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