Organization · Type 2 NPI

Trustees of Columbia University In the City of New York

Surgery Physician · New York, NY

NPI number 1508266347 Active

Practice location

622 W 168th St
New York, NY 10032

Fax (212) 304-6470

Mailing address

400 Kelby St, 7th Floor, Columbia Clinical Revenue Office
Fort Lee, NJ 07024-2943

Other practice locations

  • 5 Columbus Cir, New York, NY 10019-1412 · (929) 440-9226

Specialties and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XNone listed
Dermatology Physician 207N00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Ophthalmology Physician 207W00000XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Otolaryngology Physician 207Y00000XNone listed
Pediatrics Physician 208000000XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Neurology Physician 2084N0400XNone listed
Psychiatry Physician 2084P0800XNone listed
Radiation Oncology Physician 2085R0001XNone listed
Surgery Physician Primary 208600000XNone listed
Urology Physician 208800000XNone listed
Nurse Practitioner 363L00000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1508266347

Trustees of Columbia University In the City of New York's National Provider Identifier is 1508266347, issued on Aug 29, 2014. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in New York, NY. The record was last updated on May 28, 2026.