Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fpa Hospital Based

Organization Dermatopathology (Pathology) Physician · NPI 1841531795

Fpa Hospital Based is a Dermatopathology (Pathology) Physician in New York, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013

Practice location Address checks out

1468 Madison Ave Annenberg 03-08
New York, NY 10029-6508
Phone: (212) 731-7772
Fax: (212) 534-7491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatopathology (Pathology) Physician (primary) Taxonomy 207ZD0900X · Licence CLIA 33D1051889 (NY)

Record details

NPI number1841531795
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFpa Hospital Based
Authorized official Crystal Macneill — Vp, Cbo Director · (212) 241-6228
Other names Mount Sinai Dermatopathology Services Iii
NPI enumeratedMarch 1, 2013
Last updated in NPPESMarch 2, 2015
Mailing address1468 Madison Ave, Annenberg 03-08, New York, NY 10029-6508

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