33D1019759 CLIA NUMBER - TRUSTEES OF COLUMBIA UNIV IN THE CITY OF NEW YORK

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Laboratory Demographics

CLIA Number: 33D1019759

Facility Name: TRUSTEES OF COLUMBIA UNIV IN THE CITY OF NEW YORK

Facility Address:
40 SAW MILL RIVER RD - SUITE UL-1
HAWTHORNE, NY
ZIP 10532
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Facility Phone Number: 914 593-7800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1710261656

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	33D1019759
LAB Type	Physician Office
Facility Name	TRUSTEES OF COLUMBIA UNIV IN THE CITY OF NEW YORK
Street	40 SAW MILL RIVER RD - SUITE UL-1
City	HAWTHORNE
State	NY
ZIP	10532
Phone	914 593-7800
CertificateType	4
CertificateEffectiveDate	5/1/2013
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024