Provider Demographics
NPI: | 1437477312 |
---|---|
Name: | MT SINAI SCHOOL OF MEDICINE OF NEW YORK UNIVERSITY |
Entity Type: | Organization |
Organization Name: | MT SINAI SCHOOL OF MEDICINE OF NEW YORK UNIVERSITY |
Other - Org Name: | MOUNT SINAI MULTISPECIALTY PHYSICIANS |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | VP, CBO DIRECTOR |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | CRYSTAL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MACNEILL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 212-731-6802 |
Mailing Address - Street 1: | 500 7TH AVE |
Mailing Address - Street 2: | 8TH FLOOR |
Mailing Address - City: | NEW YORK |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 10018-4502 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 212-731-6870 |
Mailing Address - Fax: | 212-731-6788 |
Practice Address - Street 1: | 3141 45TH ST |
Practice Address - Street 2: | |
Practice Address - City: | LONG ISLAND CITY |
Practice Address - State: | NY |
Practice Address - Zip Code: | 11103-1621 |
Practice Address - Country: | US |
Practice Address - Phone: | 718-721-1500 |
Practice Address - Fax: | 718-777-1623 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | MOUNT SINAI HOSPITAL |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2010-05-17 |
Last Update Date: | 2015-05-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | Group - Multi-Specialty |
No | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | Group - Multi-Specialty | |
No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
No | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | Group - Multi-Specialty |
No | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology | Group - Multi-Specialty |
No | 207UN0901X | Allopathic & Osteopathic Physicians | Nuclear Medicine | Nuclear Cardiology | Group - Multi-Specialty |
No | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Group - Multi-Specialty | |
No | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | Group - Multi-Specialty | |
No | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Multi-Specialty | |
No | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology | Group - Multi-Specialty | |
No | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Multi-Specialty | |
No | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Group - Multi-Specialty | |
No | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Multi-Specialty | |
No | 208800000X | Allopathic & Osteopathic Physicians | Urology | Group - Multi-Specialty |