# ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cardiothoracic Surgery of Mount Sinai
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750626560
- **Authorized official:** CRYSTAL MACNEILL (VP, CBO DIRECTOR)
- **Authorized official phone:** (646) 605-8112

## Contact information

- **Practice address:** 1190 5TH AVE, BOX 1028, NEW YORK, NY 10029-6503
- **Practice address phone:** (212) 241-5646
- **Practice address fax:** (212) 241-0038
- **Mailing address:** 150 EAST 42ND. STREET, 10TH FL., NEW YORK, NY 10017-5626
- **Mailing address phone:** (646) 605-8119
- **Mailing address fax:** (646) 605-3029

## Taxonomy

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

## Other

- **Enumeration date:** 12/05/2012
- **Last updated:** 07/08/2015