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Organization

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Active
Other names
Medical Oncology Department of Mount Sinai SLR
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CRYSTAL MACNEILL (VICE PRESIDENT, CBO DIRECTOR)
(646) 605-8112
Entity
Organization

Contact information

Practice address
1000 10TH AVENUE, NEW YORK, NY 10019
(212) 523-5559
Mailing address
150 EAST 42ND STREET, 10TH FLOOR, NEW YORK, NY 10017
(646) 605-8119

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Enumeration date
09/23/2015
Last updated
09/23/2015
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