Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
Dermatology Department of Mount Sinai BISLR
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
10 UNION SQUARE EAST, NEW YORK, NY 10003
(212) 844-8800
Mailing address
150 EAST 42ND STREET, 10TH FLOOR, NEW YORK, NY 10017
(646) 605-8119
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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