WESTSIDE PEDIATRICS PC NPI 1306962881

NPI Information

NPI: 1306962881
Provider Name: WESTSIDE PEDIATRICS PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 33D2198276

Address:
620 COLUMBUS AVE
STE 1
NEW YORK, NY
ZIP 10024
Phone: (212) 874-4500
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WESTSIDE PEDIATRICS PC is a primary care clinic center in New York, NY. WESTSIDE PEDIATRICS PC NPI is 1306962881. The provider is registered as an organization entity type.

The provider's business location address is:

620 COLUMBUS AVE
STE 1
NEW YORK, NY
ZIP 10024-458
Phone: (212) 874-4500

The provider's authorized official is Michael Yaker .
The authorized official title is President and has the following contact phone number (212) 874-4500.

The CLIA number assigned to this NPI record is 33D2198276 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care		NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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