Organization
FPA OUT OF NETWORK
Active
Other names
Mount Sinai School of Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL MACNEILL (VICE PRESIDENT, CBO DIRECTOR)
(646) 605-8112
Entity
Organization
Contact information
Practice address
ONE GUSTAVE L. LEVY PLACE, NEW YORK, NY 10029-6574
(646) 605-8119
(646) 605-3029
Mailing address
PO BOX 28082, NEW YORK, NY 10087-8082
(646) 605-8119
(646) 605-3029
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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