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NPI Code Detail

MEDICARE: WEILL MEDICAL COLLEGE OF CORNELL

MEDICARE: WEILL MEDICAL COLLEGE OF CORNELL
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1649286139
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEILL MEDICAL COLLEGE OF CORNELL
Provider Business Mailing Address
First Line : 575 LEXINGTON AVE
Second Line : SUITE 500
City : NEW YORK
State : NY
Zip : 10022-6102
Country : US
Telephone Number : 646-962-5401
Fax Number : 646-962-0293
Provider Business Practice Location Address
First Line : 3611 21ST ST
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11106-4705
Country : US
Telephone Number : 718-482-7772
Fax Number : 718-482-9648
Authorized Official
Title or Position : SENIOR DIRECTOR
Name : ANN F. ADENBAUM
Credential :
Telephone Number : 646-962-5487
Provider Enumeration Date : 08/01/2006
Last Update Date : 08/06/2015

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Directions to “WEILL MEDICAL COLLEGE OF CORNELL ” Practice Location

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