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Organization

DENTISTRY DEPARTMENT OF MOUNT SINAI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL MACNEILL (FPA BILLING DIRECTOR)
(646) 605-8112
Entity
Organization

Contact information

Practice address
1468 MADISON AVE, ANNENBERG BLD 2ND FLOOR, NEW YORK, NY 10029-6508
(212) 241-0300
Mailing address
PO BOX 4500, POBOX 28980, NEW YORK, NY 10163-4500

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
03/20/2015
Last updated
03/20/2015
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