# CORNELL UNIVERSITY MEDICAL COLLEGE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Cornell Vascular Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932116886
- **Authorized official:** DARRACOTT VAUGHAN JR. M.D. (CHIEF MEDICAL OFFICER OF PO)
- **Authorized official phone:** (212) 746-6464

## Contact information

- **Practice address:** 525 E 68TH ST, SUITE M014, NEW YORK, NY 10021-4870
- **Practice address phone:** (212) 746-5192
- **Mailing address:** 525 EAST 68TH STREET, BOX 197, NEW YORK, NY 10021
- **Mailing address phone:** (212) 746-5192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 08/22/2020