Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
DERMATOLOGY 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
1 GUSTAVE L LEVY PLACE, NEW YORK, NY 10029
(212) 241-9065
(212) 987-1197
Mailing address
PO BOX 28082, NEW YORK, NY 10087-8082
(212) 987-3100
(646) 605-3029
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
04/16/2012
Last updated
06/24/2015
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