Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
OFFSITE TRUBELJA CARDIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL MACNEILL (VICE PRESIDENT, CBO DIRECTOR)
(212) 731-6802
Entity
Organization
Contact information
Practice address
485 MADISON AVE, 17TH FLOOR, NEW YORK, NY 10022-1304
(212) 731-6753
Mailing address
1 GUSTAVE L LEVY PL, BOX 1621, NEW YORK, NY 10029-6500
(212) 731-6753
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
08/23/2012
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