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Upper West Side Medical Doctor Pllc
Clinic/Center in New York, New York
NPI 1912417254

Upper West Side Medical Doctor Pllc is a Clinic/Center based in New York, NY. Upper West Side Medical Doctor Pllc practices in New York, NY. The NPI Number for Upper West Side Medical Doctor Pllc is 1912417254 and holds a License No. (New York).

The current practice location address for Upper West Side Medical Doctor Pllc is 46 W 86Th St Ste 1A, New York, NY and can be reached out via phone at 908-962-1000 and via fax at 908-962-1000.

Location: 46 W 86Th St Ste 1A, New York, NY, 10024-3633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912417254
Provider Name
Upper West Side Medical Doctor Pllc
Credential
Provider Entity Type
Organization
Address
46 W 86Th St Ste 1A, New York, NY, 10024-3633
Phone Number
908-962-1000
Fax Number
908-962-1000
Provider Enumeration Date
09/30/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
287857 01 NY NY STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
46 W 86Th St Ste 1A
City
New York
State
New York
Zip
10024-3633
Phone Number
908-962-1000
Fax Number
908-962-1000
person
Provider Business Mailing Address Details
Address
46 W 86Th St Ste 1A
City
New York
State
New York
Zip
10024-3633
Phone Number
908-962-1000
Fax Number
908-962-1000
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
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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