Organization
WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANTIANO IADECOLA M.D. (DIRECTOR)
(212) 746-6575
Entity
Organization
Contact information
Practice address
525 E 68 ST, DEPT OF NEUROLOGY, NEW YORK, NY 10065
(212) 746-6546
Mailing address
430 E 63 ST 6L, NEWYORK, NY 10065
(212) 355-9347
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
130996
NY
261QR1100X
Research Clinic/Center
130996
NY
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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