Provider Demographics
NPI:1508207457
Name:WEILL CORNELL MEDICAL COLLEGE
Entity type:Organization
Organization Name:WEILL CORNELL MEDICAL COLLEGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSOR & CHAIRMAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:KNOWLES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-746-6464
Mailing Address - Street 1:218 GOLF EDGE DR
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-1806
Mailing Address - Country:US
Mailing Address - Phone:908-928-0603
Mailing Address - Fax:
Practice Address - Street 1:1300 YORK AVE - ROOM C-302
Practice Address - Street 2:WEILL CORNELL MEDICAL COLLEGE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:212-746-5454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY194939-1291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory