Organization
FACULTY PRACTICE ASSOCIATES MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
Radiology Department of Mount Sinai
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL MACNEILL (VICE PRESIDENT, CBO DIRECTOR)
(212) 731-6802
Entity
Organization
Contact information
Practice address
1176 5TH AVE, NEW YORK, NY 10029-6503
(212) 241-8426
(212) 289-0092
Mailing address
PO BOX 28082, NEW YORK, NY 10087-8082
(212) 241-8426
(212) 289-0092
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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