Healthcare Provider Details

I. General information

NPI: 1386681450
Provider Name (Legal Business Name): ANDREW JEFFREY EINSTEIN M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 WEST 168TH STREET COLUMBIA UNIVERSITY, DIVISION OF CARDIOLOGY
NEW YORK NY
10032
US

IV. Provider business mailing address

630 W 168TH ST BOX 4
NEW YORK NY
10032-3725
US

V. Phone/Fax

Practice location:
  • Phone: 212-305-4275
  • Fax:
Mailing address:
  • Phone: 212-305-4275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number226196
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number226196
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: