Organization
FACULTY PRACTICE ASSOCIATES MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
Preventive Medicine Department of Mount Sinai
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL MACNEILL (VICE PRESIDENT, CBO DIRECTOR)
(212) 731-6870
Entity
Organization
Contact information
Practice address
345 E 102ND ST SUITE 215, NEW YORK, NY 10029-5611
(212) 241-6336
Mailing address
PO BOX 28082, NEW YORK, NY 10087-8082
(212) 241-6336
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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