# ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NYEE FACULTY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NYEE Faculty Practice Ophthalmology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760932974
- **Authorized official:** MS. CRYSTAL MACNEILL (VICE PRESIDENT, CBO DIRECTOR)
- **Authorized official phone:** (646) 605-8112

## Contact information

- **Practice address:** 310 E 14TH ST, NEW YORK, NY 10003-4201
- **Practice address phone:** (212) 979-4500
- **Mailing address:** 150 E 42ND ST, 10TH FLOOR, NEW YORK, NY 10017-5612
- **Mailing address phone:** (646) 605-8119
- **Mailing address fax:** (646) 605-3031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2016
- **Last updated:** 10/12/2016