# TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kreitcman Pet Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730297011
- **Authorized official:** MS. VIRTUDES REYES (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (212) 305-1948

## Contact information

- **Practice address:** 722 WEST 168TH STREET R1 FL, NEW YORK, NY 10032-3733
- **Practice address phone:** (212) 342-2899
- **Practice address fax:** (212) 342-3745
- **Mailing address:** 630 W 168TH ST \# 28, NEW YORK, NY 10032-3725
- **Mailing address phone:** (212) 305-1948
- **Mailing address fax:** (212) 305-5777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085N0904X | Nuclear Radiology Physician | — | NULL | Yes |
| 2085N0904X | Nuclear Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2006
- **Last updated:** 02/02/2015