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Organization
TRUSTEES OF COLUMBIA UNIVERSITY IN DEPARTMENT OF PSYCHIATRY
Active
Organization
TRUSTEES OF COLUMBIA UNIVERSITY IN DEPARTMENT OF PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN SCRIVENER (ASSISTANT DIRECTOR)
(212) 304-6308
Entity
Organization
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2330
(212) 305-9657
Mailing address
710 W 168TH ST, NEUROLOGICAL INSTITUTE 12-1222, NEW YORK, NY 10032-3726
(212) 305-2330
(212) 305-9657
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02378169
—
NY
Enumeration date
06/15/2006
Last updated
01/17/2019
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