Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Icahn School of Medicine at Mount Sinai

Organization Dermatology Physician · NPI 1104366871

Icahn School of Medicine at Mount Sinai is a Dermatology Physician in New York, New York. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
8
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Practice location Address checks out

1000 10th Ave
New York, NY 10019-1147
Phone: (212) 523-6500
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Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Dermatology Physician Taxonomy 207N00000X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Neurology Physician Taxonomy 2084N0400X
Geriatric Psychiatry Physician Taxonomy 2084P0805X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1104366871
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Crystal Macneill — Vice President, Cbo Director · (646) 605-8112
Other names The Institute For Advanced Medicine
NPI enumeratedMarch 1, 2017
Last updated in NPPESMarch 1, 2017
Mailing address150 E 42nd St, 10th Floor, New York, NY 10017-5612

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