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Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
Mount Sinai Brooklyn Docs
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL MACNEILL (VICE PRESIDENT, CBO DIRECTOR)
(646) 605-8112
Entity
Organization
Contact information
Practice address
3201 KINGS HWY, BROOKLYN, NY 11234-2625
(718) 951-2851
Mailing address
150 E 42ND ST, 10TH FLOOR, NEW YORK, NY 10017-5612
(646) 605-8119
(646) 605-3031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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