Provider Demographics
NPI:1528592573
Name:NEW YORK PRESBYTERIAN HOSPITAL-WEILL CORNELL
Entity Type:Organization
Organization Name:NEW YORK PRESBYTERIAN HOSPITAL-WEILL CORNELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:POST GRADUATE MEDICAL RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RABECCA
Authorized Official - Middle Name:M
Authorized Official - Last Name:VANEVENHOVEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-424-1290
Mailing Address - Street 1:9644 SUTTON GREEN CT
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22181-6105
Mailing Address - Country:US
Mailing Address - Phone:703-424-1290
Mailing Address - Fax:
Practice Address - Street 1:9644 SUTTON GREEN CT
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22181-6105
Practice Address - Country:US
Practice Address - Phone:703-424-1290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-17
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital