Provider Demographics
NPI:1083918221
Name:NY PRESBYTERIAN HOSPITAL - CORNELL
Entity Type:Organization
Organization Name:NY PRESBYTERIAN HOSPITAL - CORNELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FELLOW SHIP COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-746-5380
Mailing Address - Street 1:303 E 60TH ST APT 34I
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1524
Mailing Address - Country:US
Mailing Address - Phone:646-675-9683
Mailing Address - Fax:
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:BOX 207
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-5380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital