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NPI Code Detail

MEDICARE: THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

MEDICARE: THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
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
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1932368214
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Provider Business Mailing Address
First Line : 630 W 168TH ST
Second Line : PH 15 WEST - 1564
City : NEW YORK
State : NY
Zip : 10032-3725
Country : US
Telephone Number : 212-305-7399
Fax Number :
Provider Business Practice Location Address
First Line : 630 W 168TH ST
Second Line : PH 15 WEST - 1564
City : NEW YORK
State : NY
Zip : 10032-3725
Country : US
Telephone Number : 212-305-7399
Fax Number :
Authorized Official
Title or Position : VICE CHAIRMAN
Name : CHARLES C MARBOE
Credential :
Telephone Number : 212-305-8063
Provider Enumeration Date : 06/03/2008
Last Update Date : 10/15/2015

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Directions to “THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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