WEST SIDE GI LLC NPI 1588938682

NPI Information

NPI: 1588938682
Provider Name: WEST SIDE GI, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 33D2040438

Address:
619 W 54TH ST
8TH FLOOR
NEW YORK, NY
ZIP 10019
Phone: (212) 874-3384
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WEST SIDE GI, LLC is an ambulatory surgical clinic center in New York, NY. WEST SIDE GI, LLC NPI is 1588938682. The provider is registered as an organization entity type.

The provider's business location address is:

619 W 54TH ST
8TH FLOOR
NEW YORK, NY
ZIP 10019-545
Phone: (212) 874-3384
Fax: (646) 873-6600

The provider's authorized official is Christine Frasco .
The authorized official title is Director, Human Resources and has the following contact phone number (212) 889-3142.

The CLIA number assigned to this NPI record is 33D2040438 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2012 and was last updated on 1/7/2020.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	192097	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A300077871	OTHER	NEW YORK	MEDICARE PTAN

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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