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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