Provider Demographics
NPI:1154601854
Name:TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NY ROGER A MAXFIELD
Entity type:Organization
Organization Name:TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NY ROGER A MAXFIELD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SNR VP & CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:MJ
Authorized Official - Last Name:QUAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-342-2939
Mailing Address - Street 1:16 E 60TH ST STE 320
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1002
Mailing Address - Country:US
Mailing Address - Phone:212-326-8415
Mailing Address - Fax:
Practice Address - Street 1:16 E 60TH ST STE 320
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1002
Practice Address - Country:US
Practice Address - Phone:212-326-8415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-25
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY141229207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty