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Organization

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Active
Other names
FPA Urgent Care Center
Organization subpart
No

Provider details

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

Contact information

Practice address
638 COLUMBUS AVE, NEW YORK, NY 10024-1406
(212) 731-7693
Mailing address
150 EAST 42ND. STREET, 10TH FL., NEW YORK, NY 10017-5626
(646) 605-8119
(646) 605-3029

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
NY

Other

Enumeration date
03/07/2012
Last updated
07/07/2015
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