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Weill Medical College of Cornell

Organization Active NPI Ophthalmology Physician · New York, NY

NPI 1629382007 · NPPES record last updated Apr 4, 2016

Key facts

NPI
1629382007
Entity type
Organization (NPI type 2)
Primary specialty
Ophthalmology Physician 207W00000X
Legal business name
WEILL MEDICAL COLLEGE OF CORNELL
Practice address
1305 York Ave
11TH Floor
New York, NY 10021-5663
Phone
(646) 962-2020
NPI assigned
Jul 28, 2010
Organization subpart
No

Authorized official

Name
Ann F Adenbaum
Title
Senior Director
Phone
(646) 962-5487

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20101112000004 NY Part B Supplier - Clinic/Group Practice 6800709023 Receives reassigned benefits from 25 practitioners
Practice locations: Brooklyn, NY; New York, NY

National Provider Directory

Tax ID family
Edwina Sai Kho (90 organizations share this tax ID)

Locations

156 William St
Fl 12
New York, NY 10038
Phone (464) 962-2020

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207W00000X Yes

Addresses

Primary practice location

1305 York Ave
11TH Floor
New York, NY 10021-5663

Mailing address

575 Lexington Ave
Suite 540
New York, NY 10022-6102
Phone (646) 962-5401

Other names

  • WCMC EYE ASSOCIATES- RETINA Doing business as

Other providers in New York, NY

All providers in New York, NY · Ophthalmology Physician in New York

Sources for this page

Verify at the official NPI Registry.