Organization
WEILL MEDICAL COLLEGE OF CORNELL
Active
Other names
Cornell Emer. Dept Tox. Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
FABIANE DE SOUZA (ENROLLMENT & CREDENTIALING COORD.)
(646) 962-2543
Entity
Organization
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-0780
Mailing address
575 LEXINGTON AVE RM 540, NEW YORK, NY 10022-6145
(646) 962-2543
Taxonomy
Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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