Organization
FACULTY PRACTICE ASSOCIATES MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
GENETIC TESTING LABORATORY 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
1428 MADISON AVE FL 2, NEW YORK, NY 10029-6508
(212) 241-7518
Mailing address
PO BOX 28082, NEW YORK, NY 10087-8082
(212) 241-3055
(212) 241-9467
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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