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Organization

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NYEE FACULTY PRACTICE

Active
Other names
NYEE Faculty Practice Ophthalmology
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
310 E 14TH ST, NEW YORK, NY 10003-4201
(212) 979-4500
Mailing address
150 E 42ND ST, 10TH FLOOR, NEW YORK, NY 10017-5612
(646) 605-8119
(646) 605-3031

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
10/12/2016
Last updated
10/12/2016
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