Weill Medical College of Cornell University
Organization Active NPI Internal Medicine Physician · New York, NY
NPI 1124310503 · NPPES record last updated May 4, 2011
Key facts
- NPI
- 1124310503
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY
- Practice address
- 12 W 72ND St
New York, NY 10023-4163 - Phone
- (212) 590-5741
- NPI assigned
- May 4, 2011
- Organization subpart
- No
Authorized official
- Name
- Christopher T Kells
- Title
- Associate Director
- Phone
- (212) 590-5741
Corporate family (same tax ID) 23
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0865160 | Weill Cornell Medical Associates West | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
- Tax ID family
- Edwina Sai Kho
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Pediatrics Physician |
208000000X |
Addresses
Primary practice location
12 W 72ND St
New York, NY 10023-4163
Mailing address
575 Lexington Ave
Suite 540
New York, NY 10022-6102
Phone (212) 590-5152
Other names
- CORNELL MEDICAL ASSOCIATES AT 12 WEST 72ND ST.
Other providers in New York, NY
- Weill Medical College of Cornell
- Weill Medical College of Cornell University
- Weill Medical College of Cornell University
- Weill Medical College of Cornell University
- Weill Medical College of Cornell University
- Weill Medical College of Cornell University
- Weill Medical College of Cornell University
- Weill Medical College of Cornell University
- Weill Medical College of Cornell University
- Weill Medical College of Cornell University
All providers in New York, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.