# UPPER WEST SIDE MEDICAL P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Upper West Eye
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528349933
- **Authorized official:** DR. RAPHAEL A CASTILLO M.D. (PHYSICIAN)
- **Authorized official phone:** (646) 267-2300

## Contact information

- **Practice address:** 125 W 79TH ST, NEW YORK, NY 10024-6454
- **Practice address phone:** (212) 785-1059
- **Practice address fax:** (212) 269-2901
- **Mailing address:** PO BOX 3234, CHURCH STREET STATION, NEW YORK, NY 10008-3234
- **Mailing address phone:** (212) 785-1059
- **Mailing address fax:** (212) 269-2901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 232065-1 | NY | Yes |
| 208600000X | Surgery Physician | 257247 | NY | — |

## Other

- **Enumeration date:** 08/30/2011
- **Last updated:** 10/12/2015