Healthcare Provider Details

I. General information

NPI: 1851587844
Provider Name (Legal Business Name): WEILL CORNELL MEDICAL COLLEGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2007
Last Update Date: 09/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E 68TH ST
NEW YORK NY
10065-4870
US

IV. Provider business mailing address

BOX 29409,GPO
NEW YORK NY
10087-0001
US

V. Phone/Fax

Practice location:
  • Phone: 646-253-2808
  • Fax: 212-746-3856
Mailing address:
  • Phone: 646-253-2808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateNY

VIII. Authorized Official

Name: MRS. ANNMARIE EWELL
Title or Position: BILLING MANAGER
Credential:
Phone: 212-746-6465