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, CBO DIRECTOR)
(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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