{
"Npi": {
"NPI": "1689065401",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "430 E 63 ST 6L",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEWYORK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10065",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "212-355-9347",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "525 E 68 ST",
"SecondLinePracticeLocationAddress": "DEPT OF NEUROLOGY",
"PracticeLocationAddressCityName": "NEW YORK",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10065",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "212-746-6546",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/16/2015",
"LastUpdateDate": "02/16/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "IADECOLA",
"AuthorizedOfficialFirstName": "CONSTANTIANO",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "212-746-6575",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261QR1100X",
"TaxonomyName": "Research Clinic/Center",
"LicenseNumber": "130996",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261QM2500X",
"TaxonomyName": "Medical Specialty Clinic/Center",
"LicenseNumber": "130996",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}