1326440553 NPI number — TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

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 1326440553 NPI number — TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
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:
1326440553
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
622 W 168TH ST PH 11
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10032-3720
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-305-5974
Provider Business Mailing Address Fax Number:
212-305-6193

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
51 W 51ST ST
Provider Second Line Business Practice Location Address:
SUITE 370
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-305-5974
Provider Business Practice Location Address Fax Number:
212-305-6193
Provider Enumeration Date:
09/18/2014

Additional Information

Authorized Official

Authorized Official Last Name:
MCKIERNAN
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
CEO AND SENIOR VICE DEAN
Authorized Official Telephone Number:
212-305-5526

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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