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Organization

FACULTY PRACTICE ASSOCIATES MOUNT SINAI SCHOOL OF MEDICINE

Active
Other names
UROLOGY DEPT OF MOUNT SINAI
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CRYSTAL MACNEILL (VICE PRESIDENT CENTRAL BILLING OFC)
(212) 731-6802
Entity
Organization

Contact information

Practice address
1 GUSTAVE L LEVY PL, BOX 1272, NEW YORK, NY 10029-6500
(212) 241-4812
(212) 987-4675
Mailing address
PO BOX 28082, NEW YORK, NY 10087-8082

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
01/18/2013
Last updated
01/18/2013
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