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Organization
WEST PARK MEDICAL GROUP PC
Active
Organization
WEST PARK MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD AMIRAIAN M.D. (MEDICAL DIRECTOR)
(212) 247-8100
Entity
Organization
Contact information
Practice address
200 W 57TH ST, 15TH AND 16TH FLOORS, NEW YORK, NY 10019-3211
(212) 247-8100
(212) 247-8093
Mailing address
200 W 57TH ST, 15TH AND 16TH FLOORS, NEW YORK, NY 10019-3211
(212) 247-8100
(212) 247-8093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W30501
EMPIRE BC BS
NY
Enumeration date
01/09/2007
Last updated
01/31/2011
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