Organization
FACULTY PRACTICE ASSOCIATES MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
Mount Sinai Emergency Physicians-West Side
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL MACNEILL (VICE PRESIDENT, CBO DIRECTOR)
(212) 731-6802
Entity
Organization
Contact information
Practice address
638 COLUMBUS AVE, NEW YORK, NY 10024-1406
(212) 731-7895
Mailing address
1 GUSTAVE L LEVY PL # 1621, NEW YORK, NY 10029-6500
(212) 731-7895
(212) 731-6788
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
NY
Other
Enumeration date
03/16/2012
Last updated
09/10/2012
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