Provider Demographics
NPI:1982863965
Name:WEILL CORNELL MEDICAL COLLEGE
Entity Type:Organization
Organization Name:WEILL CORNELL MEDICAL COLLEGE
Other - Org Name:REPRODUCTIVE MEDICINE -MALE MICRO SRGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANACIAL ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-962-3437
Mailing Address - Street 1:1305 YORK AVENUE
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-746-2178
Mailing Address - Fax:
Practice Address - Street 1:1305 YORK AVENUE
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-746-2178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty