# ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MOUNT SINAI SCHOOL OF MEDICINE, FPA
- **Other names:** Genetics and Genomic Sciences Department of Mount Sinai
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679814974
- **Legal business name:** MOUNT SINAI SCHOOL OF MEDICINE, FPA
- **Authorized official:** MS. CRYSTAL MACNEILL (VICE PRESIDENT, CBO DIRECTOR)
- **Authorized official phone:** (646) 605-8112

## Contact information

- **Practice address:** 1428 MADISON AVE, 1ST FLOOR, NEW YORK, NY 10029-6508
- **Practice address phone:** (212) 241-8717
- **Practice address fax:** (212) 876-7805
- **Mailing address:** 150 EAST 42ND STREET, 10TH FLOOR, NEW YORK, NY 10017-5626
- **Mailing address phone:** (646) 605-8119
- **Mailing address fax:** (646) 605-3031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 170100000X | Ph.D. Medical Genetics | — | NULL | Yes |
| 170100000X | Ph.D. Medical Genetics | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2013
- **Last updated:** 03/14/2016