Dermatology
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1518354844 · enumerated 2015-04-24 · record updated 2015-04-24. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Ms. CRYSTAL MACNEILL, Vice President, CBO Director · (646) 605-8112
Other names: FPA OUT OF NETWORK
Addresses and phones
- Mailing address 150 EAST 42ND STREET, NEW YORK, NY, 10017 (646) 605-8119 Fax (646) 605-3029 Google Maps Apple Maps OpenStreetMap
- Practice location ONE GUSTAVE L. LEVY PLACE, NEW YORK, NY, 10029 (646) 605-8119 Fax (646) 605-3029 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X
- Obstetrics & Gynecology 207V00000X
- Otolaryngology 207Y00000X
- Pediatrics 208000000X
- Surgery 208600000X
- Dermatology 207N00000X · Primary
In this directory
Locations and evidence
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Practice location
NEW YORK, NY, 10029
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.