# TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740899715
- **Legal business name:** TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
- **Authorized official:** DR. JAMES MICHAEL MCKIERNAN MD (CEO AND SENIOR VICE DEAN)
- **Authorized official phone:** (212) 305-5526

## Contact information

- **Practice address:** 180 FORT WASHINGTON AVE FL 8, NEW YORK, NY 10032-3722
- **Practice address phone:** (212) 305-8555
- **Mailing address:** 400 KELBY ST, 8TH FLOOR, COLUMBIA CLINICAL REVENUE OFFICE, FORT LEE, NJ 07024
- **Mailing address phone:** (646) 317-7111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/27/2020
- **Last updated:** 02/07/2023