Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
Head and Neck Surgery Department of Otolaryngology
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL MACNEILL (VP, CBO DIRECTOR)
(646) 605-8112
Entity
Organization
Contact information
Practice address
5 E 98TH ST, BOX 1191, NEW YORK, NY 10029-6501
(212) 241-9410
(212) 996-9097
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
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
01/16/2013
Last updated
07/08/2015
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