Provider Demographics
NPI:1053119479
Name:NEW YORK PRESBYTERIAN WEILL CORNELL MEDICINE
Entity type:Organization
Organization Name:NEW YORK PRESBYTERIAN WEILL CORNELL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:QUINCY
Authorized Official - Middle Name:K
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:212-746-3970
Mailing Address - Street 1:525 E 68TH ST # 139
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:525 E 68TH ST # 139
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-3970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW YORK PRESBYTERIAN HOSPITAL-WEILL CORNELL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty