Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
Medicine Department 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
(646) 605-3029
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207KA0200X
Allergy Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
04/30/2012
Last updated
06/24/2015
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