# ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thoracic Surgery Department of Mount Sinai SLR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538538152
- **Authorized official:** MS. CRYSTAL MACNEILL (VICE PRESIDENT, CBO DIRECTOR)
- **Authorized official phone:** (646) 605-8112

## Contact information

- **Practice address:** 1000 10TH AVENUE, NEW YORK, NY 10019
- **Practice address phone:** (212) 523-7475
- **Mailing address:** 150 EAST 42ND STREET, 10TH FLOOR, NEW YORK, NY 10017
- **Mailing address phone:** (646) 605-8119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2015
- **Last updated:** 09/24/2015