| NPI | 1013386812 |
|---|---|
| Doing Business As | DERMATOLOGY DEPARTMENT OF MOUNT SINAI BISLR |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MACNEILL Vice President, Cbo Director 646-605-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |