WEILL CORNELL MEDICAL COLLEGE WCMC NEURO SURG SPINE CENTER 59TH ST Patient Name: EPSTEIN, JEFFREY Date Received: 01/17/2018 Patient ID #: | Account ID #: Visit #: 7604598 Appointment Provider: HARTL, ROGER Type Amount Source Ref # Other $350.00 Credit Card Credit Card Information Card Brand: Card ends with: Transaction ID: Authorization code: Transaction Date : Wed Jan 17, 2018 9:31 AM Transaction Type: Payment Received by: GINYARD, DEJENE Thank you for your payment. EFTA00314245