# TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Columbia Endovascular Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992816011
- **Authorized official:** MR. VIRTUDES REYES (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (212) 305-6912

## Contact information

- **Practice address:** 51 WEST 51ST STREET STE 301, NEW YORK, NY 10019
- **Practice address phone:** (212) 305-5123
- **Practice address fax:** (212) 305-8636
- **Mailing address:** 630 W 168TH ST \# 28, NEW YORK, NY 10032-3720
- **Mailing address phone:** (212) 305-1948
- **Mailing address fax:** (212) 305-5777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 03/04/2016