Organization
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Active
Parent organization
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
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
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9335
(212) 305-7944
Mailing address
400 KELBY ST, 8TH FLOOR, CLINICAL REVENUE OFFICE, FORT LEE, NJ 07024
(212) 304-6309
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
09/25/2019
Last updated
02/07/2023
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