| Trusttes Of Columbia University - Cdtp | |
|
127 W 127th St New York NY 10027-3723 | |
| (212) 666-6312 | |
| (212) 662-2980 |
| Full Name | Trusttes Of Columbia University - Cdtp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 127 W 127th St, New York, New York |
| Authorized Official Name and Position | Ann Armoogan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2126666312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trusttes Of Columbia University - Cdtp 127 W 127th St New York NY 10027-3723 Ph: (212) 666-6312 | Trusttes Of Columbia University - Cdtp 127 W 127th St New York NY 10027-3723 Ph: (212) 666-6312 |
| NPI Number | 1841441813 |
|---|---|
| Provider Enumeration Date | 10/08/2008 |
| Last Update Date | 10/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841441813 | NPI | - | NPPES |
| 00881094 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 00881084 (New York) | Primary |
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