Provider Demographics
NPI:1003832924
Name:MOUNT SINAI SCHOOL OF MEDICINE - DEPT. OF NEUROLOGY
Entity Type:Organization
Organization Name:MOUNT SINAI SCHOOL OF MEDICINE - DEPT. OF NEUROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRESPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-241-7076
Mailing Address - Street 1:5 EAST 98 STREET
Mailing Address - Street 2:BOX 1139
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6511
Mailing Address - Country:US
Mailing Address - Phone:212-241-4572
Mailing Address - Fax:212-860-4952
Practice Address - Street 1:5 EAST 98 STREET
Practice Address - Street 2:7TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6511
Practice Address - Country:US
Practice Address - Phone:212-241-4572
Practice Address - Fax:212-241-2542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty