Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
Rehabilitation Fluoroscopy Medicine Department of Mount Sinai
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL MACNEILL (VP, CBO DIRECTOR)
(646) 605-8112
Entity
Organization
Contact information
Practice address
5 E 98TH ST FL 6, BOX 1240B, NEW YORK, NY 10029-6501
(212) 241-5643
(212) 369-6389
Mailing address
150 EAST 42ND. STREET, 10TH FL., NEW YORK, NY 10017-5626
(646) 605-8119
(646) 605-3029
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/31/2012
Last updated
07/08/2015
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