MEDICARE: THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

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	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1932368214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

Provider Business Mailing Address
First Line	:	630 W 168TH ST
Second Line	:	PH 15 WEST - 1564
City	:	NEW YORK
State	:	NY
Zip	:	10032-3725
Country	:	US
Telephone Number	:	212-305-7399
Fax Number	:

Provider Business Practice Location Address
First Line	:	630 W 168TH ST
Second Line	:	PH 15 WEST - 1564
City	:	NEW YORK
State	:	NY
Zip	:	10032-3725
Country	:	US
Telephone Number	:	212-305-7399
Fax Number	:

Authorized Official
Title or Position	:	VICE CHAIRMAN
Name	:	CHARLES C MARBOE
Credential	:
Telephone Number	:	212-305-8063

Provider Enumeration Date	:	06/03/2008
Last Update Date	:	10/15/2015

Similar Medicare Providers

1346196920 — ELISABETH HARDIN GERAGHTY MS
Practice Location Address:

630 W 168TH ST
NEW YORK, NY
10032-3725

Practice Phone: 212-305-2862
Practice Fax:

1376544700 — DR. KELLY MARIE ONEIL PHARM.D., BCPS
Practice Location Address:

630 W 168TH ST
NEW YORK, NY
10032-3725

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1235104118 — FABRIZIO REMOTTI M.D.
Practice Location Address:

630 W 168TH ST , COLUMBIA PRESBYTERIAN M.C., DEPT OF PATHOLOGY VC14-209
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Practice Phone: 212-342-0419
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1184683344 — KRISTIN M BURKART M.D.
Practice Location Address:

630 W 168TH ST , PH 8 EAST, SUITE 101
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Practice Fax:

1750342101 — BELINDA DSOUZA MD
Practice Location Address:

630 W 168TH ST # MC28
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1699730143 — DR. JOAN M BATHON M.D.
Practice Location Address:

630 W 168TH ST , 10-445
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1871541011 — JULIE E MYERS M.D.
Practice Location Address:

630 W 168TH ST , BOX 82
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