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Organization

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Active
Other names
PSYCHIATRY DEPARTMENT OF MOUNT SINAI
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL MACNEILL (VICE PRESIDENT,CBO DIRECTOR)
(646) 605-8112
Entity
Organization

Contact information

Practice address
1425 MADISON AVE, NEW YORK, NY 10029-6514
(212) 987-3100
(212) 731-5220
Mailing address
P.O. BOX 28082, NEW YORK, NY 10087-8082
(212) 731-7696
(212) 348-6158

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary

Other

Enumeration date
02/15/2012
Last updated
06/24/2015
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