Organization
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Active
Organization
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRTUDES REYES (CREDENTIALING COORDINATOR)
(212) 305-6912
Entity
Organization
Contact information
Practice address
51 WEST 51ST STREET STE 300, NEW YORK, NY 10019-1951
(212) 326-8518
(212) 326-8528
Mailing address
630 WEST 168TH ST, #28, NEW YORK, NY 10032-3720
(212) 305-1948
(212) 305-5777
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02186198
—
NY
01
—
S7X081
EMPIRE BCBS #
NY
Enumeration date
08/27/2006
Last updated
06/13/2016
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