OrganizationIcahn School Of Medicine At Mount Sinai(Urology Department Of Mount Sinai)UrologyAllopathic & Osteopathic PhysiciansPractice Address5 E 98th St Fl 6, Box 1272, New York, NY 10029-6501(212) 241-4812(212) 987-3100PECOS EnrollmentBased on the most recent information from CMS, provider Icahn School Of Medicine At Mount Sinai does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 7:46 AM.Profile DetailsProvider ID1750647152Provider TypeOrganizationFull NameIcahn School Of Medicine At Mount SinaiOther NameUrology Department Of Mount SinaiSubpartNoEnumeration Date4/10/2012Last Updated6/24/2015Contact InformationPractice LocationPractice Address5 E 98th St Fl 6, Box 1272, New York, NY 10029-6501Phone(212) 241-4812Fax(212) 987-4675Mailing LocationMailing AddressPO Box 28082, New York, NY 10087-8082Phone(212) 987-3100Fax(646) 605-3029Authorized OfficialNameMacneill, Crystal (Cbo Director, Vice President)Phone(646) 605-8112Provider TaxonomiesCodeDescriptionLicenseCode208800000XPrimaryDescriptionUrologyAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer