Organization
FACULTY PRACTICE ASSOCIATES - MT. SINAI SCHOOL OF MEDICINE
Active
Other names
Genetics & Genomics Schiences Dept of Mt. Sinai
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN CLARKE (CLIN PRACTICE MGR)
(212) 241-3055
Entity
Organization
Contact information
Practice address
1428 MADISON AVE, 1ST FLOOR, NEW YORK, NY 10029-6574
(212) 241-6947
(212) 860-3316
Mailing address
1 GUSTAVE L. LEVY PLACE, BOX 1497, NEW YORK, NY 10029-6574
(212) 241-6947
(212) 860-3316
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
200748
NY
208000000X
Pediatrics Physician
200748
NY
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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