Healthcare Provider Details

I. General information

NPI: 1932203346
Provider Name (Legal Business Name): WEILL MEDICAL COLLEGE OF CORNELL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 07/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E 68TH ST BOX 69
NEW YORK NY
10021-4870
US

IV. Provider business mailing address

525 E 68TH ST BOX 69
NEW YORK NY
10065-4870
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-6465
  • Fax: 212-746-3856
Mailing address:
  • Phone: 212-746-6465
  • Fax: 212-746-3856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. ANN-MARIE EWELL
Title or Position: BILLING MANAGER
Credential:
Phone: 212-746-6465