Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
Pathology Department of Mount Sinai BI
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
16 STREET AT 1ST AVENUE, NEW YORK, NY 10003
(212) 420-4030
Mailing address
150 EAST 42ND STREET, 10TH FLOOR, NEW YORK, NY 10017
(646) 605-8119
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZP0101X
Anatomic Pathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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