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Organization
MOUNT SINAI HOSPITAL
Active
Organization
MOUNT SINAI HOSPITAL
Active
Other names
MS Queens Multispecialty Physician
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL MACNEILL (VICE PRESIDENT, CBO DIRECTOR)
(212) 731-6802
Entity
Organization
Contact information
Practice address
25-10 30TH AVENUE, LONG ISLAND CITY, NY 11102
(718) 808-7731
Mailing address
500 7TH AVENUE, 8TH FLOOR, NEW YORK, NY 10018-4502
(212) 731-7650
(212) 731-6788
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207U00000X
Nuclear Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207ZC0006X
Clinical Pathology Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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