Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Faculty Practice Associates - Mt Sinai School of Medicine

Organization Clinical Genetics (M.D.) Physician · NPI 1063800084

Faculty Practice Associates - Mt Sinai School of Medicine provides Clinical Genetics (M.D.) Physician services in New York, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
Specialties on file
2

Practice location Address checks out

1428 Madison Ave 1st Fl
New York, NY 10029-6574 Not confirmed with CMS for 11 years — call before visiting
Phone: (212) 241-6947
Fax: (212) 860-3316
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X · Licence 200748 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 200748 (NY)

Record details

NPI number1063800084
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sean Clarke — Clin Practice Mgr · (212) 241-3055
Other names Genetics & Genomics Schiences Dept Of Mt. Sinai
NPI enumeratedDecember 29, 2014
Last updated in NPPESDecember 29, 2014
Mailing address1 Gustave L. Levy Place, Box 1497, New York, NY 10029-6574

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