Cornell Univ Med College

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

070611059 Issued in NY

Legal business name

CORNELL UNIV MED COLLEGE

Practice address

56 W 45TH St
9TH Floor
New York, NY 10036-4206

Phone

(212) 764-5178

Fax

(212) 764-5644

NPI assigned

Jun 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Kells

Title

Associate Director

Phone

(212) 590-5741

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1609072602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 W 45TH ST",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364206",
            "telephone_number": "212-764-5178",
            "fax_number": "212-764-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W 45TH ST",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364206",
            "telephone_number": "212-764-5178",
            "fax_number": "212-764-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELL UNIV MED COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "KELLS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "212-590-5741"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "070611059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01439358",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karina Esther Cornelio, MSW, CASAC-T
• Lisa J Cornelio, LMSW
• Francois H Cornelis, MD, PHD
• Cheryl Brandt Cornelius, PHD IN PSYCHOLOGY
• Cornell & Associates Marriage and Family Therapy
• Cornell University Medical College
• Cornell University Medical College
• Cornell University Medical College
• Andrea Cornell, M.A.
• Charles N. Cornell, M.D.

• All providers in New York, NY
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.