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

Icahn School of Medicine at Mount Sinai

Organization Dermatology Physician · NPI 1477932275

Icahn School of Medicine at Mount Sinai is a Dermatology Physician in Astoria, New York. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
8
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Practice location Address checks out

25-10 30th Ave
Astoria, NY 11102
Phone: (718) 932-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Dermatology Physician Taxonomy 207N00000X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Otolaryngology Physician Taxonomy 207Y00000X
Pediatrics Physician Taxonomy 208000000X
Neurology Physician Taxonomy 2084N0400X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1477932275
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Crystal Macneill — Vice President, Cbo Director · (646) 605-8112
Other names Mount Sinai Queens Doctors
NPI enumeratedMay 26, 2015
Last updated in NPPESFebruary 8, 2016
Mailing address150 East 42nd Street, 10th Floor, New York, NY 10017

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