# WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689065401
- **Authorized official:** DR. CONSTANTIANO IADECOLA M.D. (DIRECTOR)
- **Authorized official phone:** (212) 746-6575

## Contact information

- **Practice address:** 525 E 68 ST, DEPT OF NEUROLOGY, NEW YORK, NY 10065
- **Practice address phone:** (212) 746-6546
- **Mailing address:** 430 E 63 ST 6L, NEWYORK, NY 10065
- **Mailing address phone:** (212) 355-9347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 130996 | NY | Yes |
| 261QR1100X | Research Clinic/Center | 130996 | NY | — |

## Other

- **Enumeration date:** 02/16/2015
- **Last updated:** 02/16/2015
