# ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Endocrinology Division of Mount Sinai
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235490277
- **Authorized official:** CRYSTAL MACNEILL (VICE PRESIDENT, CBO DIRECTOR)
- **Authorized official phone:** (646) 605-8112

## Contact information

- **Practice address:** 1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6574
- **Practice address phone:** (212) 987-3100
- **Practice address fax:** (212) 731-5220
- **Mailing address:** PO BOX 28082, NEW YORK, NY 10087-8082
- **Mailing address phone:** (212) 987-3100
- **Mailing address fax:** (212) 731-5220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2012
- **Last updated:** 06/24/2015