Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
Clinical Immunology Division of Mount Sinai
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL MACNEILL (VICE PRESIDENT, CBO DIRECTOR)
(646) 605-8112
Entity
Organization
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6574
(212) 987-3100
(212) 731-5220
Mailing address
PO BOX 28082, NEW YORK, NY 10087-8082
(212) 987-3100
(212) 731-5220
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
06/06/2012
Last updated
06/24/2015
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