1013397082 NPI number — WEILL MEDICAL COLLEGE OF CORNELL

Table of content: (NPI 1013397082)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013397082 NPI number — WEILL MEDICAL COLLEGE OF CORNELL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WEILL MEDICAL COLLEGE OF CORNELL
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:
1013397082
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/04/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
575 LEXINGTON AVE
Provider Second Line Business Mailing Address:
SUITE 500
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10022-6102
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
646-962-5401
Provider Business Mailing Address Fax Number:
646-962-0293

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
115 EAST 61ST STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10065
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-486-6715
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/04/2015

Additional Information

Authorized Official

Authorized Official Last Name:
ADENBAUM
Authorized Official First Name:
ANN
Authorized Official Middle Name:
F
Authorized Official Title or Position:
SENIOR DIRECTOR
Authorized Official Telephone Number:
646-962-5487

Provider Taxonomy Codes

  • Taxonomy code: 207K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com