# WEILL MEDICAL COLLEGE OF CORNELL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WCM Internal Medicine Associates /Diabetes Prevention Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508513037
- **Authorized official:** JOHN TAM (DIRECTOR CONTRACT & MANAGED CARE)
- **Authorized official phone:** (212) 746-7778

## Contact information

- **Practice address:** 505 E 70TH ST \# 4TH, NEW YORK, NY 10021-4872
- **Practice address phone:** (212) 746-2900
- **Practice address fax:** (212) 746-8127
- **Mailing address:** 575 LEXINGTON AVE RM 540, NEW YORK, NY 10022-6145
- **Mailing address phone:** (212) 746-7778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 03/04/2022
- **Last updated:** 03/04/2022