Organization
WEILL MEDICAL COLLEGE OF CORNELL
Active
Other names
Adult Congenital Heart Disease
Organization subpart
No
Provider details
NPI number
Authorized official
FABIANE DE SOUZA (ENROLLMENT COORDINATOR)
(646) 962-2543
Entity
Organization
Contact information
Practice address
520 E 70TH ST # ST4, NEW YORK, NY 10021-9800
(646) 962-5558
Mailing address
575 LEXINGTON AVE RM 540, NEW YORK, NY 10022-6145
(646) 962-2543
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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