Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
UROLOGY DEPARTMENT OF MOUNT SINAI
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL MACNEILL (CBO DIRECTOR, VICE PRESIDENT)
(646) 605-8112
Entity
Organization
Contact information
Practice address
5 E 98TH ST FL 6, BOX 1272, NEW YORK, NY 10029-6501
(212) 241-4812
(212) 987-4675
Mailing address
PO BOX 28082, NEW YORK, NY 10087-8082
(212) 987-3100
(646) 605-3029
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
06/24/2015
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