Organization · Type 2 NPI
Upper West Side Medical Doctor PLLC
Clinic/Center · New York, NY
NPI number
1912417254
Active
Practice location
46 W 86th St Ste 1A
New York, NY 10024-3633
Fax (908) 962-1000
Mailing address
46 W 86th St
New York, NY 10024-3633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1912417254
Upper West Side Medical Doctor PLLC's National Provider Identifier is 1912417254, issued on Sep 30, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in New York, NY. The record was last updated on Dec 5, 2017.