PARK WEST MEDICAL ASSOCIATE PLLC


Address: 15 W 84th St, 1j, New York, NY 10024-4703
Phone: 2123623020

PARK WEST MEDICAL ASSOCIATE PLLC (NPI# 1376879049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376879049
Entity Type Organization
Organization Name PARK WEST MEDICAL ASSOCIATE PLLC
Practice Address 15 W 84th St
1j
New York
NY 10024-4703
Practice Telephone 2123623020
Practice Fax Number 2123623020
Mailing Telephone 2123623020
Mailing Fax Number 2123623020
Enumeration Date 2009-10-30
Last Update Date 2016-02-18
Authorized Official Name OBUNIKE O. EDOKWE (OWNER)
Authorized Official Telephone 9179402386
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 180533 NY Ambulatory Health Care Facilities

Office Location

Street Address 15 W 84TH ST
1J
City NEW YORK
State NY
Zip Code 10024-4703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144613381 Alena Gerst Social Worker 15 W 84th St, 1f, New York, NY 10024-4703 2015-03-12
1184996654 Walter Williamson General Practice 15 W 84th St, Ph-d, New York, NY 10024-4703 2012-01-31
1578887600 Lawrence H Schneider Orthopaedic Surgery 15 W 84th St, Apt 2-c, New York, NY 10024-4703 2010-03-18

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy 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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Competitor

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City NEW YORK
Zip Code 10024

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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