OrganizationActive
Fpa Hospital Based
NPI 1841531795 · Dermatopathology (Pathology) Physician · New York, NY
Provider details
- NPI number
- 1841531795
- Entity type
- Organization
- Primary specialty
- Dermatopathology (Pathology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Fpa Hospital Based
- Organization subpart
- Yes
- Authorized official
- Crystal Macneill, Vp, Cbo Director(212) 241-6228
- License
- CLIA 33D1051889 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1468 Madison Ave
Annenberg 03-08
New York, NY 10029-6508
Phone: (212) 731-7772
Fax: (212) 534-7491
Approximate (ZIP-level) locationGet directions
Mailing address
1468 Madison Ave
New York, NY 10029-6508
Other names (DBA / former)
- Doing business as
- Mount Sinai Dermatopathology Services III
Registry dates
- Enumerated
- 2013-03-01
- Last updated
- 2015-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.