MEDICARE: TRUSTEES OF COLUMBIA UNIVERSITY - SCM

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency	01572403	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497907539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUSTEES OF COLUMBIA UNIVERSITY - SCM

Provider Business Mailing Address
First Line	:	127 W 127TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10027-3723
Country	:	US
Telephone Number	:	212-666-6312
Fax Number	:	212-662-2980

Provider Business Practice Location Address
First Line	:	127 W 127TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10027-3723
Country	:	US
Telephone Number	:	212-666-6312
Fax Number	:	212-662-2980

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MISS ANN ARMOOGAN
Credential	:
Telephone Number	:	212-666-6312

Provider Enumeration Date	:	10/21/2008
Last Update Date	:	10/21/2008

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Directions to “TRUSTEES OF COLUMBIA UNIVERSITY - SCM ” Practice Location

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