# WEILL CORNELL

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

## Provider details

- **NPI number:** 1841652914
- **Authorized official:** MISS YANA KAPUSTINA DDS (RESIDENT GPY-1)
- **Authorized official phone:** (917) 696-1497

## Contact information

- **Practice address:** 1300 YORK AVE, NEW YORK, NY 10065-4805
- **Practice address phone:** (845) 926-4968
- **Mailing address:** 174 BAY 29TH ST, BROOKLYN, NY 11214-5020
- **Mailing address phone:** (917) 696-1497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/28/2016
- **Last updated:** 03/28/2016