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General NPI Number Information
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NPI Number | 1073524369
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Entity Type | Organization
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Legal Business Name | TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 622 W 168TH ST PH 1-137
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone | 212-305-2995
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Fax | 212-305-6792
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Provider Business Mailing Address
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Address Line | 622 W 168TH ST PH 1-137
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone | 212-305-2995
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Fax | 212-305-6792
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | MS. LINDA WATERMAN BLATNIK
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Credential |
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Telephone | 212-305-2995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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