Organization
TRUSTEES COLUMBIA UNIVERSITY CITY NY CENTER INTERVENTIONAL VASCULAR TH
Active
Organization
TRUSTEES COLUMBIA UNIVERSITY CITY NY CENTER INTERVENTIONAL VASCULAR TH
Active
Other names
Center Interventional Vascular Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE M.J QUAN (SENIOR VICE PRESIDENT/CHIEF OFFICER)
(212) 342-2939
Entity
Organization
Contact information
Practice address
161 FORT WASHINGTON AVE, 6TH FLOOR HIP, NEW YORK, NY 10032-3729
(212) 342-3616
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02719313
—
NY
Enumeration date
07/08/2006
Last updated
04/23/2013
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