Basic Information
Provider Information
NPI: 1083918221
EntityType: 2
ReplacementNPI:  
OrganizationName: NY PRESBYTERIAN HOSPITAL - CORNELL
LastName:  
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Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: 303 E 60TH ST APT 34I
Address2:  
City: NEW YORK
State: NY
PostalCode: 100221524
CountryCode: US
TelephoneNumber: 6466759683
FaxNumber:  
Practice Location
Address1: 525 E 68TH ST
Address2: BOX 207
City: NEW YORK
State: NY
PostalCode: 100654870
CountryCode: US
TelephoneNumber: 2127465380
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/03/2011
LastUpdateDate: 01/03/2011
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: REYES
AuthorizedOfficialFirstName: JEFFREY
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AuthorizedOfficialTitleorPosition: FELLOW SHIP COORDINATOR
AuthorizedOfficialTelephone: 2127465380
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282E00000X  Y HospitalsLong Term Care Hospital 

No ID Information.


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