1427165489 NPI number — WEILL MEDICAL COLLEGE OF CORNELL UNIV.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427165489 NPI number — WEILL MEDICAL COLLEGE OF CORNELL UNIV.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WEILL MEDICAL COLLEGE OF CORNELL UNIV.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427165489
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21 BLOOMINGDALE RD
Provider Second Line Business Mailing Address:
3A SOUTH
Provider Business Mailing Address City Name:
WHITE PLAINS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10605-1504
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-682-9100
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21 BLOOMINGDALE RD
Provider Second Line Business Practice Location Address:
3A SOUTH
Provider Business Practice Location Address City Name:
WHITE PLAINS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10605-1504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-682-9100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/24/2006

Additional Information

Authorized Official

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

Provider Taxonomy Codes

  • Taxonomy code: 261QS1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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