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Organization

TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

Active
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Organization

TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

Active
Parent organization
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Organization subpart
Yes

Provider details

NPI number
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)
(212) 305-5526
Entity
Organization

Contact information

Practice address
622 W 168TH ST, NEW YORK, NY 10032
(212) 342-5155
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
207K00000X
Allergy & Immunology Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207U00000X
Nuclear Medicine Physician
208M00000X
Hospitalist Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
12/06/2017
Last updated
02/07/2023
About Stedi
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