Organization
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Active
Other names
Columbia Presbyterian Radiologists
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRTUDES REYES (CREDENTAILING COORDINATOR)
(212) 305-6912
Entity
Organization
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9335
(212) 305-8636
Mailing address
630 W 168TH ST # 28, NEW YORK, NY 10032-3725
(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
—
02186203
—
NY
01
—
WR4411
EMPIRE BCBS
NY
Enumeration date
08/27/2006
Last updated
11/12/2014
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