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1467560854 NPI number — TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

NPI Number: 1467560854
Health Care Provider/Practitioner: TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

Information about “1467560854” NPI (TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK) exists in 1467560854 in HTML format HTML  |  1467560854 in plain Text format TXT  |  1467560854 in PDF (Portable Document Format) PDF  |  1467560854 in an XML format XML  formats.

NPI Number : 1467560854 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467560854",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "630 W 168TH ST # 28",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10032-3725",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "212-305-1948",
    "MailingAddressFaxNumber": "212-305-5777",
    "FirstLinePracticeLocationAddress": "622 W 168TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10032-3720",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-305-9335",
    "PracticeLocationAddressFaxNumber": "212-305-8636",
    "EnumerationDate": "08/27/2006",
    "LastUpdateDate": "11/12/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "REYES",
    "AuthorizedOfficialFirstName": "VIRTUDES",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CREDENTAILING COORDINATOR",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "212-305-6912",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2085R0202X",
        "TaxonomyName": "Diagnostic Radiology Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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