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Organization
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Active
Organization
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Active
Other names
ColumbiaDoctors Ambulatory Care Network
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANNE M.J. QUAN (SENIOR VP & CHIEF FINANCIAL OFFICER)
(212) 342-2939
Entity
Organization
Contact information
Practice address
400 KELBY ST, 8TH FLOOR CLINICAL REVENUE OFFICE, FORT LEE, NJ 07024-2943
(212) 304-6408
Mailing address
615 W 131ST ST, NEW YORK, NY 10027-7922
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03845145
—
NY
Enumeration date
03/29/2011
Last updated
08/25/2014
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