| Columbia University Health Care, Inc. | |
|
622 West 168th Street Vanderbilt Clinic 9th Floor New York NY 10032-3720 | |
| (212) 305-9904 | |
| (212) 342-2284 |
| Full Name | Columbia University Health Care, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 622 West 168th Street, New York, New York |
| Authorized Official Name and Position | Joseph V Errante (SENIOR ASSOC DENA OF CLINICAL AFF) |
| Authorized Official Contact | 2123054511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia University Health Care, Inc. 630 West 168th Street P&s Box 20 New York NY 10032-3725 Ph: (212) 305-9904 | Columbia University Health Care, Inc. 622 West 168th Street Vanderbilt Clinic 9th Floor New York NY 10032-3720 Ph: (212) 305-9904 |
| NPI Number | 1114432671 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 12/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114432671 | NPI | - | NPPES |
| 00302034 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (New York) | Primary |
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