Organization
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Active
Organization
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Active
Parent organization
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Other names
Columbia Oral & Maxillofacial Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Authorized official
DR. JAMES MICHAEL MCKIERNAN MD (CHIEF EXECUTIVE OFFICER)
(212) 305-5526
Entity
Organization
Contact information
Practice address
630 W 168TH ST, SUITE VC7-226, NEW YORK, NY 10032
(212) 305-8516
(212) 305-9017
Mailing address
400 KELBY ST, FORT LEE, NJ 07024-2943
(212) 853-6414
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
036028-1
NY
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
03/18/2026
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