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NPI Code Detail

MEDICARE: WEILL MEDICAL COLLEGE OF CORNELL

MEDICARE: WEILL MEDICAL COLLEGE OF CORNELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871692210
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEILL MEDICAL COLLEGE OF CORNELL
Provider Business Mailing Address
First Line : 525 EAST 68TH SREET
Second Line : BOX 171 RM F-1228 DEPT. OF PYSCHIATRY
City : NEW YORK
State : NY
Zip : 10065-4870
Country : US
Telephone Number : 212-746-0235
Fax Number : 212-746-3687
Provider Business Practice Location Address
First Line : 525 EAST 68TH SREET
Second Line : BOX 171 RM F-1228 DEPT. OF PYSCHIATRY
City : NEW YORK
State : NY
Zip : 10065-4870
Country : US
Telephone Number : 212-746-0235
Fax Number : 212-746-3687
Authorized Official
Title or Position : ACCOUNT SUPERVISOR
Name : ZEMFIRA EGELBAUM
Credential :
Telephone Number : 212-746-0235
Provider Enumeration Date : 09/22/2006
Last Update Date : 10/25/2017

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Directions to “WEILL MEDICAL COLLEGE OF CORNELL ” Practice Location

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