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Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
FPA Transitional Care
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
ONE GUSTAVE L. LEVY PLACE, NEW YORK, NY 10029-6574
(212) 241-6500
Mailing address
150 EAST 42ND STREET, 10TH FLOOR, NEW YORK, NY 10017-5626
(646) 605-8119
(646) 605-3029
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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