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Organization

FPA HOSPITAL BASED

Active
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Organization

FPA HOSPITAL BASED

Active
Other names
Anesthesiology Department of Mount Sinai
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL MACNEILL (VICE PRESIDENT, REVENUE CBO DIRECTO)
(212) 731-6802
Entity
Organization

Contact information

Practice address
1 GUSTAVE L LEVY PL, ANESTHESIOLOGY - BOX 1010, NEW YORK, NY 10029-6500
(212) 241-6426
(212) 876-3906
Mailing address
PO BOX 5024, NEW YORK, NY 10087-5024
(800) 627-4470
(412) 937-5710

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
207LP2900X
Pain Medicine (Anesthesiology) Physician
207LP3000X
Pediatric Anesthesiology Physician
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
208VP0000X
Pain Medicine Physician
208VP0014X
Interventional Pain Medicine Physician
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
05/28/2013
Last updated
08/01/2013
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