Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Organization
MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
OFFSITE SOFFER CARDIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL MACNEILL (CBO DIRECTOR, VICE PRESIDENT)
(212) 731-6802
Entity
Organization
Contact information
Practice address
485 MADISON AVE, 17TH FLOOR, NEW YORK, NY 10022-1304
(212) 752-2700
(212) 731-6753
Mailing address
1 GUSTAVE L LEVY PL, BOX 1621, NEW YORK, NY 10029-6500
(212) 731-7906
(212) 731-6753
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
01/31/2012
Last updated
08/23/2012
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