# PARK WEST RADIOLOGY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003855404
- **Authorized official:** MR. DONOVAN SPAMER (MANAGER)
- **Authorized official phone:** (212) 772-3111

## Contact information

- **Practice address:** 315 W 57TH ST, NEW YORK, NY 10019-3158
- **Practice address phone:** (212) 874-6362
- **Mailing address:** 315 W 57TH ST, NEW YORK, NY 10019-3158
- **Mailing address phone:** (212) 874-6362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | — |
| 2085B0100X | Body Imaging Physician | — | — | — |
| 2085N0700X | Neuroradiology Physician | — | NULL | — |
| 2085N0700X | Neuroradiology Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 09/11/2025
