# ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MS NYEE Otolaryngology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114476371
- **Authorized official:** MS. CRYSTAL MACNEILL (VICE PRESIDENT, CBO DIRECTOR)
- **Authorized official phone:** (646) 605-8112

## Contact information

- **Practice address:** 310 E 14TH ST, 6 FL NORTH, NEW YORK, NY 10003-4201
- **Practice address phone:** (212) 979-4200
- **Mailing address:** 310 E 14TH ST, 6TH FLOOR, NEW YORK, NY 10003-4201
- **Mailing address phone:** (212) 353-5776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |
| 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