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General NPI Number Information
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NPI Number | 1578596243
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Entity Type | Organization
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Legal Business Name | TRUSTEES OF COLUMBIA UNIVERSITY IN CITY OF NY HEMATOLOGY ONCOLOGY
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 161 FORT WASHINGTON AVE SUITE 425
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City | NEW YORK
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State | NY
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Zip | 10032-3729
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Country | US
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Telephone | 212-305-5056
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Fax |
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Provider Business Mailing Address
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Address Line | 630 W 168TH ST # 4 12TH FLOOR, SUITE 208
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City | NEW YORK
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State | NY
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Zip | 10032-3725
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT FOR HEALTH
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Name | DR. GERALD FISCHBACH
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Credential | M.D.
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Telephone | 212-305-9331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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