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Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
Gramercy Park Physicians of Mount Sinai
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
10 UNION SQUARE EAST, SUITE 5M, NEW YORK, NY 10003
(212) 253-6800
Mailing address
500 7TH AVE, 8TH FLOOR, NEW YORK, NY 10018-4502
(212) 731-6870
(212) 731-6788
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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