Organization
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Active
Other names
Columbia Presbyterian Neuro-Interventional Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
VIRTUDES REYES CREDENTIALING COORDI (CREDENTIALING COORDINATOR)
(212) 305-6912
Entity
Organization
Contact information
Practice address
622 WEST 168TH STREET, MHB-8 SO. KNUCKLE, NEW YORK, NY 10032
(212) 305-6384
(212) 305-5476
Mailing address
630 WEST 168TH STREET MC28, NEW YORK, NY 10032-3725
(212) 305-1948
(212) 305-5777
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
NXA
NY
2085N0700X
Neuroradiology Physician
—
—
Other
Enumeration date
08/28/2006
Last updated
03/13/2015
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