MEDICARE: WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207ZB0001X	Blood Banking & Transfusion Medicine Physician
2	207ZC0500X	Cytopathology Physician
3	207ZD0900X	Dermatopathology (Pathology) Physician
4	207ZF0201X	Forensic Pathology Physician
5	207ZH0000X	Hematology (Pathology) Physician
6	207ZI0100X	Immunopathology Physician
7	207ZM0300X	Medical Microbiology Physician
8	207ZN0500X	Neuropathology Physician
9	207ZP0007X	Molecular Genetic Pathology (Pathology) Physician
10	207ZP0101X	Anatomic Pathology Physician
11	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician
12	207ZP0104X	Chemical Pathology Physician
13	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician
14	207ZP0213X	Pediatric Pathology Physician
15	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician

General Provider Information

NPI Number	:	1376635060
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY

Provider Business Mailing Address
First Line	:	525 E 68TH ST
Second Line	:	C-302
City	:	NEW YORK
State	:	NY
Zip	:	10021-4870
Country	:	US
Telephone Number	:	212-746-6465
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 E 68TH ST
Second Line	:	C-302
City	:	NEW YORK
State	:	NY
Zip	:	10021-4870
Country	:	US
Telephone Number	:	212-746-6465
Fax Number	:

Authorized Official
Title or Position	:	ASSOCIATE DIRECTOR
Name	:	CHRISTOPHER T. KELLS
Credential	:
Telephone Number	:	212-590-5741

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	09/11/2025

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