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Organization

TRUSTEES OF COLUMBIA UNIVERSITY

Active
Other names
HARLEM FACULTY PRACTICE
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAGADEESH BELLAPU (ASSOCIATE DIRECTOR)
(212) 939-2740
Entity
Organization

Contact information

Practice address
506 MALCOLM X BLVD, WP 522, NEW YORK, NY 10037-1802
(212) 939-2740
(212) 939-2759
Mailing address
506 MALCOLM X BLVD, WP 522, NEW YORK, NY 10037-1802
(212) 939-2740
(212) 939-2759

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
07/16/2006
Last updated
08/22/2020
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