Organization
FACULTY PRACTICE ASSOCIATES MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
GENETICS AND GENOMIC SCIENCES DEPARTMENT OF MOUNT SINAI
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL MACNEILL (CBO DIRECTOR, VICE PRESIDENT)
(212) 731-6802
Entity
Organization
Contact information
Practice address
1184 5TH AVE 2ND FLOOR, NEW YORK, NY 10029-6503
(212) 241-0915
Mailing address
PO BOX 28082, NEW YORK, NY 10087-8082
(212) 241-8717
(212) 241-9467
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
—
—
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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