Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
GERIATRIC 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
1440 MADISON AVE, NEW YORK, NY 10029-6508
(212) 658-8552
Mailing address
P.O. BOX 28082, NEW YORK, NY 10087-1008
(212) 987-3100
(646) 605-3029
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
02/15/2012
Last updated
06/24/2015
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