Provider Demographics
NPI:1306220454
Name:COLUMBIA PRESBYTERIAN HOSPITAL
Entity type:Organization
Organization Name:COLUMBIA PRESBYTERIAN HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE DIRECTOR, PA SERVICES DEP
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KALMBACH
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:212-305-0230
Mailing Address - Street 1:2 ELLWOOD ST APT 3X
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-1917
Mailing Address - Country:US
Mailing Address - Phone:203-671-3568
Mailing Address - Fax:
Practice Address - Street 1:627 W 165TH ST
Practice Address - Street 2:SUITE 515
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3790
Practice Address - Country:US
Practice Address - Phone:212-305-0230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY23 018818282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital