MEDICARE: COLUMBIA PRESBYTERIAN PATHOLOGISTS

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	207ZN0500X	Neuropathology Physician
3	207ZC0500X	Cytopathology Physician
4	207ZD0900X	Dermatopathology (Pathology) Physician
5	207ZP0213X	Pediatric Pathology Physician
6	207ZF0201X	Forensic Pathology Physician
7	207ZP0007X	Molecular Genetic Pathology (Pathology) Physician
8	207ZH0000X	Hematology (Pathology) Physician
9	207ZI0100X	Immunopathology Physician
10	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician
11	207ZP0104X	Chemical Pathology Physician
12	207ZM0300X	Medical Microbiology Physician
13	207ZP0101X	Anatomic Pathology Physician
14	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician

General Provider Information

NPI Number	:	1679507594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLUMBIA PRESBYTERIAN PATHOLOGISTS

Provider Business Mailing Address
First Line	:	622 W 168TH ST
Second Line	:	PH 1564W
City	:	NEW YORK
State	:	NY
Zip	:	10032-3720
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	622 W 168TH ST
Second Line	:	VC 14-215
City	:	NEW YORK
State	:	NY
Zip	:	10032-3720
Country	:	US
Telephone Number	:	212-305-6719
Fax Number	:

Authorized Official
Title or Position	:	BILLING AND REVENUE CYCLE MANAGER
Name	:	MELISSA CARTER
Credential	:
Telephone Number	:	212-305-7399

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	08/06/2015

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